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Updated: Jul 10, 2026
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Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
Published on: March 5, 2022
[Delayed vertigo after stapedotomy with good hearing results].
G Plaza Mayor1, C Herraiz Puchol, B Martínez Rodríguez
1Servicio de Otorrinolaringología, Hospital de Fuenlabrada, Madrid, España. gplaza.hflr@salud.madrid.org
Anales Otorrinolaringologicos Ibero-Americanos
|November 23, 2007
Summary
Persistent vertigo after stapedotomy, a stapedial surgery for otosclerosis, can occur but is treatable. Vestibular rehabilitation effectively resolved symptoms in three patients, avoiding revision surgery.
Area of Science:
- Otolaryngology
- Neurosurgery
- Vestibular System
Background:
- Stapedial surgery is a common procedure for otosclerosis, typically yielding excellent long-term hearing outcomes.
- A small percentage of patients experience post-operative vertigo or tinnitus, sometimes necessitating revision surgery.
Observation:
- This study reports on three cases (2.6%) of persistent vertigo following stapedotomy in a series of 115 patients.
- These patients presented with residual unsteadiness despite successful hearing restoration, with a minimum 12-month follow-up.
- Videonystagmography revealed contralateral spontaneous nystagmus in one patient and ipsilateral canalicular paresis (vestibular hypofunction) in the other two.
Findings:
- All three patients with persistent vertigo after stapedotomy experienced complete resolution of unsteadiness.
- Resolution was achieved through vestibular rehabilitation, demonstrating effective spontaneous compensation.
- No patients required further surgical intervention.
Implications:
- Vestibular rehabilitation is a viable and effective non-surgical treatment for post-stapedotomy vertigo.
- This approach can successfully manage vestibular hypofunction following stapedial surgery.
- It highlights the importance of considering vestibular assessment and rehabilitation in managing post-surgical complications.
