Small fenestra stapedectomy technique: Reducing risk and improving hearing

Abstract

During the past 25 years many variations have emerged in stapedectomy, most of which centered around either a change in the prosthesis itself or in the type of oval window seal. The small fenestra stapedectomy technique (SFT) represents a change in surgical procedure rather than in prosthetic design. This technique offers the opportunity to improve hearing results while reducing risks in stapedectomy surgery. Four areas of significant improvement are seen in patients in whom the SFT was used: (1) improved hearing in the high frequencies of 2000, 4000, and 8000 Hz, (2) improved speech discrimination scores, (3) a significant reduction in the number of reported vestibular complaints, and (4) a reduction in the number of serious postoperative sensorineural hearing losses.

Fortschritte in der Stapeschirurgie

“…Genau entgegengesetzte Resultate wurden in anderen Studien publiziert: Sedwick et al [209], Kürsten et al [191], Naramura et al [192], Plath et al [196], Herzog [200], Cremers et al [232], Baily et al [231], Fisch [195], Smyth [194], [208].…”

Comparison of Hearing Improvement and Complications after Stapes Surgery with and without Potassium Titanyl Phosphate Laser for Manipulation of the Foot Plate

“…This is probably because a limited opening of the vestibule carries a reduced risk of damage to the inner ear. Some authors have suggested that stapedotomy results in a significantly better gain at high frequencies and significantly lowers the risk of damage to the inner ear [5][6][7][8] as compared to total stapedectomy. On the other hand, other authors have reported that the differences in the hearing results and incidence of sensorineural hearing loss between the techniques are statistically insignificant [6,[9][10][11][12] .…”

Clinical consequences of feedback on ear surgery: the continuous recording of adverse events and complications with regard to reducing the number of surgeons who perform otosclerosis surgery

“…Usually, the focus will be on one specific kind of ear surgery [3,4,5,7,12,13,15,18,20,21,26,27,29,30,33,34,37,44,46,48,49,50,52,53,54,56,58,59,60,61,66,68]. Usually, the focus will be on one specific kind of ear surgery [3,4,5,7,12,13,15,18,20,21,26,27,29,30,33,34,37,44,46,48,…”