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Related Experiment Video

Updated: Jul 22, 2025

Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
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Flight After Stapes Surgery: An Evidence-Based Recommendation.

Taim Akhal1, Marc Bassim2

  • 1School of Medicine, Royal College of Surgeons in Ireland Medical University of Bahrain Busaiteen Bahrain.

OTO Open
|July 21, 2023
PubMed
Summary
This summary is machine-generated.

Air travel is safe for patients after stapes surgery. Patients can fly shortly after discharge and should perform a Valsalva maneuver during descent.

Keywords:
airplaneauditory tubeaviationear surgeryeustachian tubeflightflyingmiddle earotologypressurestapes surgery

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Area of Science:

  • Otolaryngology
  • Aerospace Medicine
  • Middle Ear Physics

Background:

  • Current recommendations for air travel post-stapes surgery lack standardization.
  • No prior systematic review has examined the physics of middle ear changes during flight and their impact on post-stapedectomy patients.

Purpose of the Study:

  • To synthesize otological and aviation expertise for evidence-based flight recommendations after stapes surgery.
  • To address the lack of standardized guidance for patients and surgeons regarding air travel post-stapes surgery.

Main Methods:

  • A systematic literature search of MEDLINE was conducted in August 2022.
  • Included studies reported patient outcomes after flying post-ear surgery or middle ear pressure changes/ossicular chain displacement.

Main Results:

  • Commercial air travel is deemed safe for patients following stapedotomy surgery.
  • Patients can safely fly soon after hospital discharge.

Conclusions:

  • Otologists can reassure stapedotomy patients about the safety of flying post-discharge.
  • Patients should be advised to perform a gentle Valsalva maneuver every 4 minutes during airplane descent.