A New Reversal Steps Stapedotomy

Malafronte, Giuseppe

doi:10.1177/0003489417751156

Cited by 3 publications

(5 citation statements)

References 8 publications

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“…The color of the visible portion of stapes footplate is white in some or in all its points because most of the footplate consists of fragile and inelastic otospongiotic bone, which is less resistant to trauma (10). The force applied to the anterior crus by the hook, transmitting unevenly on the fragile footplate, can easily cause footplate fractures (7). In biscuit otosclerosis, the otospongiotic focus involves only the footplate which become white in all its points (10).…”

Section: Discussionmentioning

confidence: 99%

“…The footplate is fixed because the annular ligament is slightly hardened. The force applied on the anterior crus by the hook, discharging unevenly on the footplate, can easily cause the torsion of the anterior part of the footplate poorly adherent to the rim of the oval window with consequent complete fracture at the footplate hole and complete disarticulation of the anterior footplate half, which remained attached to the stapes superstructure (7).…”

Section: Discussionmentioning

confidence: 99%

“…Malafronte observed that the fracture of anterior crus, remained a weak point because it prevents footplate complications only in marginal otosclerosis but not in diffuse or biscuit otosclerosis (7,9).…”

Section: Discussionmentioning

confidence: 99%

“…To solve this problem, Malafronte proposed a new stapedotomy in which only the stapes head is removed rather than the entire stapes superstructure (7). This new stapedotomy is simple, fast and safe.…”

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confidence: 99%

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Stapedotomy Removing Only the Stapes Head and Not the Entire Stapes Superstructure: Long-term Results

Malafronte

Trusio

Motta

et al. 2021

Otology &Amp; Neurotology

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Objective: To describe a new stapedotomy in which is removed only the stapes head not the entire stapes superstructure and its long-term results. Study Design: Prospective study. Patients: The study was started on January 2015 and ended on September 2020. Seventy patients with otosclerosis were included in the study. They underwent stapedotomy from January 2015 to April 2016. The main follow-up for the study group was (5.1 yrs). The study group was divided into two groups (A and B) according the short hearing results (1 yr) and long hearing results (5.1 yrs). Group A including short hearing results. Group B including long hearing results. For all patients in groups A and B, the surgeon (M.G.), microscope, the anesthesia (local), the approach (transcanal), the prostheses (piston-type), and the new stapedotomy (removal of the stapes head only and not of the entire stapes superstructure), were identical. Results:No patients exhibited postoperative dizziness or worsening of bone conduction. Cutting the stapes neck never caused bleeding or footplate complications. The average time to perform the new stapedotomy was 15 minutes. Air-bone gap (ABG) closure to within 10 dB was achieved in 66 of 70 (94.28%) cases in group A and in 65 of 70 (92.85%) cases in group B. This difference was not statistically significant. Conclusion: The Malafronte's stapedotomy is an easy, safety, minimally invasive, and fast surgical technique. Its hearing outcomes are good and stable over time.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Stapedotomy Removing Only the Stapes Head and Not the Entire Stapes Superstructure: Long-term Results

Malafronte

Trusio

Motta

et al. 2021

Otology &Amp; Neurotology

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“…13 Fisch's exclusion criteria for reversal stapedotomy are otosclerosis obliterans and otosclerosis with narrow oval window niche. 14,15 However, different techniques are being used in stapedotomy now-a-days. To perforate the stapes footplate micro-drills or various lasers can be used.…”

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confidence: 99%

Outcome of classical and reversal stapedotomy in otosclerosis

Parvez

Akhtar

Rahman

et al. 2023

Bangabandhu Sheikh Mujib Medical University Journal

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Classical and reversal stapedotomy both are exclusively done in otosclerosis but definite information regarding surgical advances, postoperative results, complications and information about how and in which patients these surgical techniques should exclusively be used are a source of continuous discussions. This prospective observational study was conducted in the Department of Otolaryngology-Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Shahbagh, Dhaka from July 2019 to December 2020 o compare the outcomes of classical and reversal stapedotomy in patients with otosclerosis. Total 28 cases of otosclerosis who underwent stapedotomy were divided in to two groups i.e. Group A (classical stapedotomy) & Group B (reversal stapedotomy) with 14 patients in each group. All patients were followed up post-operatively up to 3 months with Pure-tone audiometry (PTA). There is no significant difference between classical and reversal stapedotomy approach in terms of hearing improvement and complications. Chorda tympani injury was the main complication in both the groups. Regarding hearing gain and complications there was no significant difference between classical and reversal stapedotomy approach. BSMMU J 2022; 15(2): 121-126

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