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[Extreme stapedectomy].
G Babighian1, M Amadori, G Galaverni
1Divisione di Otorinolaringoiatria e Centro Reg., di Audiologia Ospedali, Civili di Venezia.
Anales Otorrinolaringologicos Ibero-Americanos
|January 1, 1991
Summary
Extreme stapedectomy offers a chance for improved hearing aid use in advanced otosclerosis. However, significant risks like hearing loss and dead ear necessitate careful patient selection and counseling.
Area of Science:
- Otolaryngology
- Neurosurgery
- Audiology
Background:
- Otosclerosis with profound hearing loss presents significant challenges.
- Restoring serviceable hearing requires advanced surgical techniques.
Purpose of the Study:
- To evaluate the efficacy and outcomes of extreme stapedectomy.
- To assess the role of this procedure in managing far-advanced otosclerosis.
Main Methods:
- A cohort of 15 patients underwent extreme stapedectomy between 1984 and 1988.
- A small fenestra technique with wire-teflon piston prostheses was employed.
Main Results:
- Satisfactory results, with improved hearing aid performance, were achieved in 53% of cases.
- Unsuccessful outcomes occurred in 47% of patients, including 13% with a dead ear.
Conclusions:
- Extreme stapedectomy can provide benefits but carries a high risk of labyrinthine failure.
- Technological advancements in hearing aids and cochlear implants may reduce candidacy for this surgery.
- The procedure remains a viable option for select borderline cases in otologic surgery.