Related Experiment Video
Updated: Jul 17, 2026
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
[Traumatic luxation of the stapes: radiology and surgical outcome]
S Tringali1, P Céruse, S Zaouche
1Service d'Oto-neurochirurgie, bâtiment 3A, Centre hospitalier Lyon Sud, 69495 Pierre-Bénite Cedex, France.
Objectives:
To describe the value of high resolution computed tomography scan (HRCT scan) in post traumatic hearing loss.
Method:
HRCT scan of the temporal bone in millimetric cut with axial and coronal views was performed.
Results:
CT scan confirmed pneumolabyrinth with intact stapes depressed deeply into the vestibule. Surgical exploration was performed and the stapes was gently removed from the vestibule.
Conclusion:
CT scan confirmed the diagnosis and studied the stapes integrity. Hearing deteriorated postoperatively is increased in case of stapes fracture. When a luxation of the stapes into the vestibule is suspected, it is important to determine how deeply and whether it is fractured. When such a case is encountered, high resolution CT scan of the temporal bone must be performed to confirm the diagnosis and to confirm integrity of the stapes.
