A review on reversal stapedotomy outcome and associated factors

Hashemi, Seyed Basir; Bozorgi, Haleh; Sehat, Mohammadreza

doi:10.1016/j.otot.2020.08.001

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…The surgical approach and techniques for treating otosclerosis have evolved and been refined over time to reduce intraoperative and post-operative complications while enhancing overall effectiveness. 4,5 There has been ongoing debate regarding the sequence of surgical steps. In early cases, the traditional method involved a classic stapedotomy, which began with the removal of the stapes superstructure, followed by perforation of the footplate, and ultimately fixing the prosthesis to the incus.…”

Section: Discussionmentioning

confidence: 99%

Standardizing the size of pistons in both sexes and comparing the outcome of reverse stapedotomy: our experience

Ghosh,

Dey

2024

Int J Otorhinolaryngol Head Neck Surg

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Background: Stapedotomy is one of the most fascinating surgery in otology. Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which leads to improvement in patients' quality of life. Methods: Prospective observational study conducted at Ghosh ENT foundation, Kolkata from May 2021 to May 2023 to study the outcome of reverse stapedotomy with microscope and the length of the piston used. Results: Our study comprised of 192 ears operated for otosclerosis, 101 were males and 91 were females. 37 patients were misdiagnosed and prescribed hearing aids without being suggested stapedotomy. The most common associated complaint was tinnitus in both the sexes and only 1 patient complained of vertigo. The most common post op complication was vertigo followed by dysgeusia, Tympanomeatal flap tear was observed in a handful cases and repaired by a tympanoplasty. Our method creates minimal complication and reduces the duration of surgery. We noticed that the average length of the piston required is 4.25 mm in females while for males it is 4.5 mm. only 3 female patients were fitted with 4.5 mm piston. Patients operated by our stapedotomy technique showed that the ABG closure within 10 dB could be achieved in 87% and within 20 dB in 97% of cases without any otologic complications. Conclusions: A good and favourable hearing outcome can be obtained by the combination of experienced hands with minimal surgical trauma and an appropriate surgical technique. This will ultimately lead to less post-operative complications and the need for revision surgery.

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Section: Discussionmentioning

confidence: 99%

Standardizing the size of pistons in both sexes and comparing the outcome of reverse stapedotomy: our experience

Ghosh,

Dey

2024

Int J Otorhinolaryngol Head Neck Surg

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“…Surgical techniques for treatment of otosclerosis have been improved, updated, or adjusted over time to lower intraoperative and post-operative problems and boost overall effectiveness [ 9 ]. The order of surgical steps had been a matter of debate.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic stapedotomy: classic versus reversal technique

Moneir

Khafagy

Salem

et al. 2023

Eur Arch Otorhinolaryngol

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Objectives To compare hearing outcome and surgical complications between endoscopic classic and reversal stapedotomies. Patients and methods A prospective single blinded randomized clinical study carried out on 60 patients with otosclerosis who were randomized into two groups; each containing 30 patients. Patients in group 1 underwent endoscopic classic stapedotomy. Patients in group 2 underwent endoscopic reversal stapedotomy. Both groups were compared as regards hearing outcome and surgical complications. Results The difference in the hearing outcome between the two groups was statistically non-significant. Post-operative closure of the air bone gap (ABG) within 10 dB was attained in 76.67% and 80% of patients in groups 1 and 2, respectively. The differences in the surgical complications between the two studied groups were statistically non-significant. Conclusion Endoscopic classic and reversal stapedotomies are comparable to each other as regards hearing outcome and surgical complications. The authors recommend further studies with relatively larger sample size.

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“…Postoperative ABG to within 10 dB was defined as surgical success and within 20 dB was considered satisfactory. 4,18 Peroperative complications (incus luxation and footplate avulsion) and postoperative complications (perilymph fistula, dysgeusia/chorda tympani injury, facial nerve injury, TM perforation, vertigo and dead ear) was also assessed. Taste abnormalities was investigated as presence or absence of a subjective abnormal taste sensation.…”

Section: Steps Of Reversal Stapedotomymentioning

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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A review on reversal stapedotomy outcome and associated factors

Cited by 3 publications

References 15 publications

Standardizing the size of pistons in both sexes and comparing the outcome of reverse stapedotomy: our experience

Standardizing the size of pistons in both sexes and comparing the outcome of reverse stapedotomy: our experience

Endoscopic stapedotomy: classic versus reversal technique

Outcome of classical and reversal stapedotomy in otosclerosis

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