Related Experiment Video
Updated: Dec 6, 2025
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
Simultaneous bilateral stapes surgery after follow-up of 13 years
Topi Jutila1, Ville Sivonen1, Timo P Hirvonen1
1Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Background:
Eighteen patients underwent simultaneous bilateral stapes surgery in 2003-2006.
Objectives:
We evaluated the long-term outcomes in this patient group, and assessed their hearing in noise and binaural hearing.
Material And Methods:
Fifteen patients returned questionnaires concerning their hearing, taste function, and balance. Thirteen patients underwent pure-tone and speech audiogram, Finnish matrix sentence test, video head impulse test, and clinical examination on average 13 years after surgery.
Results:
We found no significant difference in air- and bone conduction pure-tone average, speech audiometry, and the air-bone gap between the 1-year and the late postoperative visits. One patient had bilaterally a partial loss of the vestibulo-ocular reflex of unknown cause.
Conclusions And Significance:
The hearing results 13 years after simultaneous bilateral stapes surgery remained good without any significant delayed complications. Simultaneous bilateral stapes surgery is a viable treatment option in selected patients with otosclerosis.
