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Related Experiment Videos

Second ear stapedectomy

R J Sergeant, P V Wadsworth

    Journal of the Royal Society of Medicine
    |July 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Second ear stapedectomies are safe and effective, with 87.5% satisfactory results and no major complications. This study suggests experienced surgeons may consider operating on a second ear in select cases.

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    Area of Science:

    • Otolaryngology
    • Neurosurgery
    • Audiology

    Background:

    • Stapedectomy is a surgical procedure to restore hearing.
    • Operating on a second ear (contralateral stapedectomy) is controversial due to potential risks.
    • Long-term outcomes of second ear stapedectomies are not well-established.

    Purpose of the Study:

    • To evaluate the safety and efficacy of second ear stapedectomies.
    • To assess complication rates and hearing outcomes in patients undergoing contralateral stapedectomy.
    • To determine if experienced surgeons can safely perform second ear stapedectomies in selected cases.

    Main Methods:

    • A long-term follow-up of a personal series of 79 second ear stapedectomies.
    • Analysis of complication rates, including 'dead ears' and vestibular dysfunction.

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  • Assessment of hearing results, specifically symmetrical hearing and air-bone gap closure.

    • Main Results:

    • The procedure was undertaken with minimal complications.
    • No instances of bilateral 'dead ears' or vestibular disasters were reported.
    • Satisfactory hearing results were achieved in 87.5% of operated ears.
    • Bilaterally symmetrical hearing (air-bone gap ≤ 30 dB) was achieved in 24% of patients.

    Conclusions:

    • Second ear stapedectomy can be performed with a low complication rate.
    • While the dictum of operating on only one ear should be maintained, experienced surgeons may consider contralateral stapedectomy in carefully selected patients.
    • The findings support the potential for improved hearing outcomes through carefully considered second ear stapedectomies.