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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
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The auditory ossicles of the middle ear transmit sounds from the air as vibrations to the fluid-filled cochlea. The auditory ossicles consist of two malleus (hammer) bones, two incus (anvil) bones, and two stapes (stirrups), one on each side. These bones develop during the fetal stage and are the ones to ossify first. They are fully mature at birth and do not grow afterward.
The aptly named stapes look very much like a stirrup. The three ossicles are unique to mammals, and each plays a role in...

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Related Experiment Video

Updated: Jul 17, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
07:35

The Microscopic Transcanal Approach in Stapes Surgery Revisited

Published on: February 16, 2022

Evolution of stapedectomy prostheses over time.

Mislav Gjuric1, Lea Rukavina

  • 1Department of Otorhinolaryngology, University of Zagreb, Zagreb, Croatia.

Advances in Oto-Rhino-Laryngology
|January 25, 2007
PubMed
Summary

Stapedectomy prostheses have evolved significantly since 1956, with materials changing from Teflon to gold and titanium. Smaller piston diameters and improved fixation methods enhance surgical success.

Area of Science:

  • Otolaryngology
  • Biomaterials Science
  • Microsurgery

Background:

  • The stapedectomy procedure, first described in 1956, involves replacing the otosclerotic stapes with a prosthesis.
  • Early prostheses were made of Teflon, marking a significant advancement in hearing restoration.

Observation:

  • Prosthesis materials have evolved from Teflon to metals like gold and titanium.
  • Piston diameters have decreased from 0.8/0.6 mm to smaller sizes since the 1970s to minimize inner ear damage.
  • Fixation techniques have advanced, including Teflon memory effect, clips, and nickel-titanium alloys.

Findings:

  • Material innovation has led to improved biocompatibility and surgical handling.
  • Smaller prosthesis dimensions facilitate easier implantation and reduce risks.

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Last Updated: Jul 17, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
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Published on: February 16, 2022

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Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach

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  • Diverse fixation methods offer tailored solutions for incus attachment.
  • Implications:

    • Continued material and design evolution in stapedectomy prostheses promises better surgical outcomes.
    • The trend towards smaller, more adaptable prostheses may further reduce complications.
    • Surgical expertise with specific prostheses remains critical for successful stapedectomy outcomes.