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Updated: Jun 7, 2026
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
A review of 89 revision stapes surgeries for otosclerosis
D Bakhos1, E Lescanne, C Charretier
1Service ORL et chirurgie cervicofaciale, CHRU de Tours, 2, boulevard Tonnelé, 37000 Tours, France. bakhos@univ-tours.fr
Objectives:
The aim of this study was to identify the causes and the audiometric results of revision surgery following stapedotomies and stapedectomies.
Patients And Methods:
We retrospectively reviewed a series of 89 revisions after surgery for otosclerosis between 1993 and 2008. Intraoperative findings, causes of failure, and pre- and postoperative audiometric results were noted retrospectively.
Results:
The leading causes of failure found intraoperatively included dislocated prosthesis and necrosis of the long process of the incus. The average postoperative air-bone gap was 13 dB. Closure of the air-bone gap to within 10 dB was achieved in 52% of patients.
Conclusion:
Stapes revisions had less satisfactory results compared with primary procedures in this series. However, certain precautions during initial surgery should decrease the number of stapes surgery revisions.
