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The feasibility of endoscopic stapes surgery: A three-dimensional planning method.
Laryngoscope Investig Otolaryngol
February 2025
Objective: The primary aim of this study was to investigate the accuracy of a semi-automatic algorithm in assessing the feasibility and complexity of endoscopic stapes surgery preoperatively.
Methods: A semi-automatic algorithm was developed to simulate endoscopic stapes surgery in 3D. To test the accuracy of the algorithm, five fresh-frozen cadaveric heads (ten ears) were used.
Stapedotomy or Stapedectomy: Does It Really Matter?
Int Arch Otorhinolaryngol
January 2025
Department of Otorhinolaryngology, Unidade Local de Saúde de Gaia e Espinho, Gaia, Portugal.
Otosclerosis leads to stapes fixation and consequent conductive hearing loss. Surgery is the mainstay of treatment, and it can be achieved through small fenestra stapedotomy or stapedectomy. Despite the first being favored by most, evidence supporting its superiority over the latter remains inconclusive.
View Article and Find Full Text PDFDegree of Preoperative Bilateral Hearing Affects Patient-Reported Outcome in Primary Stapedotomy.
Otol Neurotol
January 2025
Department of Otorhinolaryngology, Head, and Neck Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Article Synopsis
- The study examines how unilateral versus bilateral hearing impairments affect patient satisfaction and hearing outcomes after stapedotomy surgery.
- Over 90% of patients reported hearing improvements post-surgery, but those with unilateral impairment had lower satisfaction compared to those with bilateral impairments.
- Tinnitus was more prevalent in patients with unilateral hearing issues, indicating additional challenges they faced after the procedure.
Audiometric results of tympanoplasty with stapedectomy and synthetic total ossicular replacement prosthesis: A STROBE analysis.
Eur Ann Otorhinolaryngol Head Neck Dis
December 2024
Service d'ORL et de chirurgie cervico-faciale, centre hospitalo-universitaire, Dijon, France; Laboratoire ICMUB, UMR CNRS 6302, université de Bourgogne, Dijon, France.
Aim: To evaluate the audiometric results of tympanoplasty with stapedectomy and insertion of a synthetic total ossicular replacement prosthesis (TORP).
Material And Methods: Retrospective observational study conducted on a cohort of 15 patients (16 ears) aged 10 to 58 years (mean: 36 years) with chronic otitis media (COM) and tympanosclerosis (n=9), stapediovestibular ankylosis (n=3), minor aplasia (n=3) or post-traumatic ossicular dislocation (n=1). Treatment consisted in tympanoplasty with stapedectomy and TORP placement by the same operator, between December 1, 2012 and January 30, 2023, in a French university hospital department, with follow-up ranging from 2 to 92 months (mean: 24 months).
The Cost Evaluation of Day-Case Compared With Inpatient Stapes Surgery for Otosclerosis: Subanalysis of a Randomized Controlled Trial.
Otol Neurotol
January 2025
Department of Otorhinolaryngology-Head and Neck Surgery, University Medical Center Groningen, the Netherlands.
Objective: To evaluate the difference in overall, hospital, and out-of-hospital cost difference of day-case stapes surgery, compared with inpatient stapes surgery, while maintaining equal hearing outcomes and quality of life (QoL).
Study Design: A single-center, nonblinded, randomized controlled trial in a tertiary referral center.
Methods: A total of 112 adult patients planned for primary or revision stapes surgery for clinically suspected otosclerosis were randomly assigned to either the day-case or inpatient treatment group.
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