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Updated: Aug 15, 2026

07:35
The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
Twenty-five years of experience with stapedectomy
M E Glasscock1, I S Storper, D S Haynes
1Otology Group, Nashville, TN 37203, USA.
The Laryngoscope
|September 1, 1995
Summary
This study reviewed 902 stapes surgery patients over 25 years. Stapes surgery outcomes were compared to other published stapedectomy and stapedotomy series.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Outcomes
Background:
- Otosclerosis is a common cause of conductive hearing loss.
- Stapes surgery, including stapedectomy and stapedotomy, is a primary treatment for otosclerosis.
- Long-term outcomes of stapes surgery require continuous evaluation.
Purpose of the Study:
- To review the outcomes of stapes surgery performed by a senior author over 25 years.
- To compare these outcomes with existing literature on stapedectomy and stapedotomy.
- To analyze surgical techniques, complications, and patient satisfaction.
Main Methods:
- Retrospective analysis of 902 patients undergoing stapes surgery (1970-1994).
- Patients underwent either stapedotomy (22 patients) or stapedectomy (880 patients).
- Outcomes assessed included pure-tone averages, air-bone gap closure, technique, complications, and patient satisfaction.
Main Results:
- The study analyzed 902 stapes surgery cases, with a majority undergoing stapedectomy.
- Key metrics like hearing improvement and complication rates were evaluated.
- Results were benchmarked against other published stapes surgery series.
Conclusions:
- Stapes surgery, encompassing both stapedectomy and stapedotomy, can yield favorable outcomes.
- Long-term data provides valuable insights for surgical technique refinement.
- Comparison with other series helps contextualize surgical performance and patient satisfaction.

