Stapedotomy is surgery for otosclerosis. In this surgery, the fixed stapes due to otosclerosis is removed and replaced with a prosthesis.
Why do you need a Stapedotomy?
Otosclerosis is a primary disease of bone metabolism. One or more areas of the stapes bone get fixed due to new bone formation/ bony deposition. It prevents mobility of the ossicular chain, preventing sound transmission and causing conductive hearing loss. It usually affects both ears but sometimes affects one ear. Females are more prone to have it.
Otosclerosis is hereditary, which means it could run in the family. Hence, taking a complete family history of the patient is a crucial part of the diagnostic process.
The surgery is performed endomeatally (through the ear canal) without any externally visible scar. During surgery, the fixed stapes is removed, and a prosthesis is placed between the incus and oval window. The ossicular chain becomes mobile again, restoring the patient’s hearing.
Post-Operative Care
The patient is usually required to stay overnight after surgery. A simple bandage dressing with cotton packing is applied to the ear. The dressing is removed ten days after surgery.
The patient can resume their normal activities two days after surgery. However, strenuous activities such as heavy lifting and forceful nose blowing are to be avoided. They are also not allowed to fly or dive for one month to prevent any complications from arising due to pressure changes. The patient would require regular follow-up for three months.
Short-term complications
Some short-term complications of the surgery could include vertigo, taste disturbance and facial paresis. However, preventive measures are taken, making these incidences extremely rare.