Related Experiment Video
Updated: Jun 29, 2026
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
[Own experience in stapes revision surgery--analysis of indications]
Marcin Durko1, Tomasz Durko, Anna Pajor
1Katedra Otolaryngologii Uniwersytetu Medycznego w Łodzi. durko@csk.umed.lodz.pl
Aim:
Analysis of indications for stapes revision surgery in patients qualified for the secondary procedure at the Otosurgery Dept. Medical University of Lodz.
Material And Methods:
25 cases of stapes revision surgery out of the 385 total treated surgically otosclerosis cases are discussed.
Results:
In group A (patients after total stapedectomy) the following indications for the secondary surgical procedure were observed: 12 cases--platinum wire prosthesis displacement with ossicular chain discontinuity; 3 cases--perichondrium or adipose tissue atrophy; 2 cases of incudo-stapedial joint luxation. Group B was composed of 8 patients after stapedotomy (teflon piston operation, 0.6 mm).
Conclusions:
(1) The most common indication for the stapes revision surgery in patients after total stapedectomy were prosthesis displacement and necrosis of the long crus of the incus. (2) Obliteration of the stapes footplate after small fenestra operation was observed in our material to be the most frequent indication for the secondary stapes procedure.
