Related Experiment Video
Updated: Dec 17, 2025
07:35
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
2.7K
Outcomes Following Revision Stapes Surgery in Children: A Single-Surgeon, Single-Center 15-Year Experience
Joshua Jervis-Bardy1, Victoria L Gau, Tristan Allsopp
1Division of Otology and Neurotology, Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Summary
Revision stapes surgery in children can safely improve hearing, especially when preoperative imaging suggests a dislodged prosthesis. This procedure is beneficial for congenital stapes fixation and tympanosclerosis.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Congenital stapes fixation (CSF) and tympanosclerosis (TS) can cause hearing loss in children.
- Revision stapes surgery is sometimes necessary for these conditions.
Purpose of the Study:
- To review outcomes of revision stapes surgery in pediatric patients.
- To identify predictors of successful hearing outcomes in revision stapes surgery.
Main Methods:
- Retrospective chart review of 15 pediatric patients undergoing revision stapes surgery.
- Analysis of pre- and post-operative pure-tone average air-bone gap (PTA-ABG) and speech recognition threshold (SRT).
Main Results:
- Mean PTA-ABG improved by 11.9 dB and SRT by 12.3 dB.
- Better outcomes were associated with a history of trauma, extruding prosthesis, or CT findings of malpositioned prosthesis.
- No significant sensorineural hearing loss occurred postoperatively.
Conclusions:
- Revision stapes surgery is safe in experienced hands for pediatric patients.
- Preoperative assessment for prosthesis extrusion or malpositioning can predict better hearing outcomes.
