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Updated: Jun 20, 2026
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Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
Published on: March 5, 2022
Failures in stapedotomy for otosclerosis
Gregorio G Babighian1, Silviu Albu
1Department of Otolaryngology-Otosurgery, Azienda Ospedaliera Università, Padova, Italy. gregorio.babighian@sanita.padova.it
Summary
Revision stapedotomy for hearing loss is less successful than primary surgery. Common failures include prosthesis displacement and incus necrosis, with less surgical trauma yielding better outcomes.
Area of Science:
- Otolaryngology
- Neurosurgery
- Audiology
Background:
- Revision stapedotomy addresses persistent or recurrent conductive hearing loss after initial surgery.
- Understanding failure causes is crucial for improving outcomes in revision otologic procedures.
Purpose of the Study:
- To analyze the outcomes of 78 revision stapedotomies.
- Identify common reasons for surgical failure.
- Determine predictors of success in revision stapedotomy.
Main Methods:
- Retrospective case series with chart review.
- Analysis of 78 revision stapedotomies performed between 1995 and 2005.
- Focus on patients with recurrent or persistent conductive hearing loss.
Main Results:
- Prosthesis displacement, incus necrosis, and oval window fibrosis were primary failure causes.
- 54% of cases achieved an air-bone gap within 10 dB; mean gap was 13.6 dB.
- Success rates were higher for prosthesis/ossicular issues than oval window problems.
Conclusions:
- Revision stapedotomy demonstrates lower success rates compared to primary procedures.
- Minimizing surgical trauma is key to achieving favorable outcomes in revision stapedotomy.
