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Related Experiment Video

Updated: May 27, 2026

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
09:20

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach

Published on: March 5, 2022

Day-case stapedotomy: is it a viable option?

Giovanni Ralli1, Renzo Mora, Giuseppe Nola

  • 1ENT Department, University of Rome "La Sapienza", Italy.

Acta Oto-Laryngologica
|November 15, 2011
PubMed
Summary

Stapes surgery, specifically stapedotomy, can be safely performed in an outpatient setting. This approach benefits patients by reducing cancellations and hospital-acquired infections, making it the preferred method.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Patient Care

Background:

  • Increasing emphasis on day surgery for elective procedures to benefit patients.
  • Day surgery reduces risks of late cancellations and hospital-acquired infections.
  • Otosclerosis surgery is a candidate for outpatient procedures.

Purpose of the Study:

  • To prospectively evaluate the safety and feasibility of stapes surgery for otosclerosis in an outpatient setting.
  • To determine if day-case stapes surgery aligns with patient well-being and healthcare efficiency.

Main Methods:

  • A series of stapes surgeries for otosclerosis were performed on a day-case basis.
  • Surgical techniques included classic stapedotomy, reverse classic step stapedotomy, partial reverse classic step stapedotomy, and hemi-stapedectomy.

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  • Patient outcomes and need for inpatient admission were monitored.

    • Main Results:

    • Out of 24 patients, 5 (20.8%) required hospital admission post-surgery.
    • Indications for admission included vertigo and asthenia, with patients treated under general anesthesia.
    • Two patients requiring admission lived over 250 km from the hospital.

    Conclusions:

    • Stapedotomy is the preferred technique for stapes surgery due to its precision.
    • The procedure can be effectively performed in a day surgery setting under local anesthesia.
    • Outpatient stapes surgery offers a safe and efficient treatment option for otosclerosis.