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Topic: Stapedectomy


In the News (Sat 25 Oct 14)

  
  Stapedectomy - Definition, Purpose, Demographics, Description, Diagnosis/preparation, Aftercare, Risks, Normal ...
Stapedectomy is a surgical procedure in which the innermost bone (stapes) of the three bones (the stapes, the incus, and the malleus) of the middle ear is removed, and replaced with a small plastic tube surrounding a short length of stainless steel wire (a prosthesis).
A stapedotomy is a surgical procedure similar to a stapedectomy except that the surgeon uses the laser to cut a hole in the stapes in order to insert the prosthesis rather than removing the stapes.
A stapedectomy is usually performed as an outpatient procedure in an ambulatory surgery facility or same-day surgery clinic.
www.surgeryencyclopedia.com /Pa-St/Stapedectomy.html   (2306 words)

  
 Stapedectomy for Otosclerosis   (Site not responding. Last check: 2007-10-30)
In stapedectomy, the immobilized stapes is removed, and a tiny platinum or stainless steel prosthesis is inserted in the middle ear to replace it.
A small tissue graft, usually taken from a vein in the patient’s hand, is taken and used to seal the oval window after the prosthesis is inserted.
People who should not have stapedectomy include those who experience frequent changes in barometric pressure (pilots and divers), elderly patients with a baseline imbalance, people whose vocations demand excellent balance, and anyone with known Meniere’s disease (stapedectomy often causes permanent profound hearing loss in patients with Meniere’s disease).
www.entcolumbia.org /stape.htm   (480 words)

  
 Audit of Stapedectomy in the N.W of England for 1996 and analysis of criteria used to describe success. -- ...
A questionaire was sent to all ENT surgeons in the North West and it is believed that all stapedectomies done in the Region, both in the NHS and in private, during the twelve month period from January to December inclusive were captured.
The objective was to discover the general picture for stapedectomy surgery in Europe and N.America with respect to the number of cases being operated, the method used (pick, drill or laser), and the results.
Stapedectomy must be the easiest of all operative procedures to audit as the auditory thresholds can easily be recorded both before and after surgery.
clinmed.netprints.org /cgi/content/full/1999120011v1   (2632 words)

  
 House Clinic - Hearing Disorders - Otosclerosis
Following the successful stapedectomy, tinnitus is often decreased in proportion to the hearing improvement.
The stapes operation (stapedectomy) is recommended for patients with otosclerosis who are candidates for surgery.
Stapedectomy is performed through the ear canal under local anesthesia.
www.houseearclinic.com /otosclerosis.htm   (1266 words)

  
 Stapedectomy
Stapedectomy is an operation to remove the fixed stapes and to replace it with a prosthesis.
These two types of hearing loss, conductive and sensorineural, may occur singly or together but are unrelated to one another as far as treatment is concerned.
There is a small nerve running through the middle ear, the chorda tympani nerve, which supplies taste sensation to the anterior side of the tongue.
www.bcm.edu /oto/clinic/educate/staped.html   (981 words)

  
 MEEI-Otosclerosis and Stapedectomy
During a stapedectomy (which is performed under either local or general anesthesia), doctors remove the diseased bone and replace it with an artificial substitute.
Not all patients with otosclerosis are candidates for stapedectomy.
The main risk of the stapedectomy procedure is a one-percent chance of developing inner ear hearing loss due to factors that doctors do not yet entirely understand.
www.meei.harvard.edu /shared/oto/gencare.php   (981 words)

  
 [No title]
In a small number of cases of profound SNHL secondary to otosclerosis, Wiet et all (1987) reported on the results of stapedectomy with postoperative hearing aid rehabilitation versus cochlear implantation, and found that stapedectomy was the preferred treatment.
Fenestration operation (1) Of historical importance (2) Indicated in certain congenital anomalies which make stapedectomy impossible (a) Dehiscence of the facial nerve with bulging over the oval window, abnormal course of the facial nerve (b) Persistent stapedial artery (c) Regrowth of footplate otosclerosis with fixation of the prosthesis (d) Some congenital deformities of the ear.
Stapedectomy can be performed resulting in some but not great hearing improvement 4.
www.utmb.edu /oto/Grand_Rounds_Earlier.dir/Otosclerosis_1993.txt   (4636 words)

  
 THE MERCK MANUAL OF GERIATRICS, Ch. 129, Ear Disorders
Surgical bypass of the stapes (stapedectomy or stapedotomy), an outpatient procedure, usually corrects conductive hearing loss.
Elderly patients with mixed hearing loss may benefit from stapedectomy because closing the air-bone gap in an ear with sensorineural loss may bring the hearing threshold to a level more amenable to hearing aid use.
Stapedectomy or stapedotomy may help patients with profound sensorineural hearing loss hear better when using a hearing aid.
www.merck.com /mrkshared/mmg/sec15/ch129/ch129i.jsp   (340 words)

  
 Otosclerosis
According to Nadol, stapedectomy is indicated in patients with good bilateral inner-ear function, and conductive hearing loss ranging from 25-30 dB in elected frequencies.
Stapedectomy is unreasonable if discrimination scores are lower than 65% as this indicates that there is a substantial sensory component.
Patients with stapedectomy may attain better results with hearing aids because of the need for lessor amplification.Stapedectomy may fail for a number of reasons.
www.dizziness-and-balance.com /disorders/hearing/otoscler.html   (2215 words)

  
 Otosclerosis (Oct.1999)
The objectives of stapedectomy are: (1) to open the oval window for sound entry into the labyrinth; (2) to reconstruct a conductive bridge between the incus and the labyrinth; and (3) to accomplish these goals as efficiently and physiologically as possible for long-term hearing without complications.
Hough states that the examination for possible revision stapedectomy should reveal: (1) the condition of the opposite ear and the relative function of the two ears in relation to adequate hearing; (2) the amount of the air-bone gap remaining; and (3) the absolute functional hearing by speech threshold and discrimination scores.
A problem with this study included the fact that the gain at 3 years in the stapedectomy group was still greater than that in the stapedotomy group.
www.utmb.edu /otoref/Grnds/Otosclerosis-9910/Otosclerosis-9910.htm   (5934 words)

  
 Stapedectomy
Stapedectomy or Stapedotomy with reestablishment of ossicular chain continuity, with or without use of foreign material
Complications from stapedectomy are infrequent and are usually related to uncommon variations in anatomy or birth defects.
Unless otherwise advised by your surgeon, stapedectomy for otosclerosis is an elective procedure.
www.entlink.net /practice/products/indicators/stapedectomy.html   (571 words)

  
 Ear Surgery | myhealth@wellmark   (Site not responding. Last check: 2007-10-30)
For example, stapedectomy (removal of parts of the middle ear and insertion of prosthesis parts) should not be performed on people with external or middle ear infection or inner ear disease.
Types of ear surgery include stapedectomy, tympanoplasty, myringotomy and ear tube surgery, ear surgery to repair a perforated eardrum, cochlear implants, and tumor removal.
Stapedectomy is the removal of all or part of the stapes, one of the bones in the middle ear, and replacement with a tiny prosthesis.
www.myhealthwellmark.com /topic/earsurgery   (1726 words)

  
 Stapedectomy | AHealthyMe.com
Stapedectomy is a surgical procedure in which the innermost bone (stapes) of the three bones (the stapes, the incus, and the malleus) of the middle ear is removed, and replaced with a small plastic tube of stainless-steel wire (a prosthesis) to improve the movement of sound to the inner ear.
A stapedectomy is used to treat progressive hearing loss caused by otosclerosis, a condition in which spongy bone hardens around the base of the stapes.
This condition fixes the stapes to the opening of the inner ear, so that the stapes no longer vibrates properly; therefore, the transmission of sound to the inner ear is disrupted.
www.ahealthyme.com /topic/topic100587503   (1081 words)

  
 Osteogenesis Imperfecta Foundation: Chat with Dr. Vernick
A: The major risks of stapedectomy are hearing loss, dizziness and change in taste to part of the tongue.
With newer techniques and prosthesis for reconstructing the hearing bones, that rule is not as strict as it used to be.
Just to list a few: there may be more problems than just with the stapes, the attachment of the prosthesis to the incus may be faulty, the incus may be too thin to hold the prosthesis long term, and damage can occur to the inner ear leading to nerve loss.
www.oif.org /site/PageServer?pagename=HearingChat   (2613 words)

  
 Stapedectomy for Tinnitus
There is a stapes surgery, called Stapedectomy, which is recommended for appropriate patients.
In Stapedectomy, the ear drum is turned forward and the fixed stapes is removed.
Tissue is placed over the opening to the inner ear and a wire, Teflon or metal prosthesis is inserted and attached to the anvil.
www.tinnitusformula.com /qtimes/2003/08/oto.aspx   (585 words)

  
 Stapedectomy Consent - Dr.Ghorayeb
Complications from stapedectomy are infrequent and seem to be related to the presence of uncommon variations in anatomy.
A hearing aid may be a reasonable alternative to surgery and the option of surgery or a hearing aid should be discussed.
Unless otherwise advised by your surgeon, stapedectomy for otosclerosis is an elective
www.ghorayeb.com /StapedectomyConsent.html   (332 words)

  
 [No title]
In June 1978, a stapedectomy was conducted on the left ear.
Based on those examinations, service connection for bilateral hearing loss with left stapedectomy was granted in April 1987, and a noncompensable rating was assigned effective from October 28, 1986.
The examiner reviewed the audiogram which showed mixed hearing loss in the right ear and significant high frequency sensorineural hearing loss in the left ear and opined that the tinnitus was most likely secondary to the hearing loss.
www.va.gov /vetapp/files2/9414494.txt   (2499 words)

  
 Howstuffworks "Otosclerosis: A Profile of Hearing Loss"
(Although a hearing aid can help, most doctors prefer to operate.) In a procedure called a stapedectomy, a surgeon folds back the eardrum, removes the affected stirrup, and replaces it with a synthetic or wire substitute that restores the conductive vibrations of the middle ear.
Because the bones involved are the tiniest in the body, the surgery is very delicate and entails a risk of failure.
Patients with advanced otosclerosis in both ears are usually advised to undergo stapedectomy as soon as possible.
health.howstuffworks.com /define-otosclerosis.htm   (425 words)

  
 Stapedectomy
Stapedectomy is the surgical procedure to remove the stapes bone and to replace it with a prosthetic stapes.
The ossicles are challenged to determine which bone(s) is (are) not moving.
If the stapes alone is immobile, stapedectomy continues by measuring the distance between the stapes footplate and the lateral surface of the incus.
www.mcenta.com /stapedectomy.htm   (644 words)

  
 Stapedectomy Slidefilm
You can listen to the story of a stapedectomy by clicking here
Here is the animated slidefilm of a stapedectomy.
You can see the actual operation by clicking here.
www.earsurgery.org /stapedec.html   (171 words)

  
 Fact Sheet: What you should know about otosclerosis
In most cases of otosclerosis, a surgical procedure called stapedectomy is the most effective method of restoring or improving hearing.
A stapedectomy is an outpatient surgical procedure done under local or general anesthesia through the ear canal with an operating microscope.
Modern-day stapedectomies have been performed since 1956 with a success rate of 90 percent.
www.entnet.org /healthinfo/hearing/otosclerosis.cfm   (788 words)

  
 OTOSCLEROSIS - STAPEDECTOMY
The operation which is done for otosclerosis is called a stapedectomy.
In 90% of cases the results of stapedectomy are very good.
In a small percentage of cases there may be severe or total loss of hearing in the operated ear.
www.surgerydoor.co.uk /medical_conditions/Indices/O/otosclerosis.htm   (977 words)

  
 Adult Health Advisor 2005.4: Ear Surgery: Stapedectomy
You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition.
A stapedectomy is a procedure done to remove all or part of the stapes.
If a nerve in your ear is bruised or damaged, you may have a limited sense of taste or a metallic taste on your tongue.
www.med.umich.edu /1libr/aha/aha_stpect_crs.htm   (883 words)

  
 eMedicine - Middle Ear, Otosclerosis : Article by Jack A Shohet, MD
In stapedectomy operations, a control hole is made in the midportion of the footplate with a straight pick prior to disarticulation of the incudostapedial joint.
Whichever stapedectomy technique is used, the oval window opening is now covered with a tissue autograft composed of either fascia, vein, or perichondrium.
In a series of 700 stapedectomies, only 2 patients had facial weakness; both were of delayed onset (around postoperative day [POD] 5), and both completely resolved within 2 weeks with steroid administration.
www.emedicine.com /ent/topic218.htm   (4085 words)

  
 OFCN Health & Wellness Clinic - ENT Office   (Site not responding. Last check: 2007-10-30)
In earlier years, stapedectomy typically involved removing most of the footplate prior to placement of a prosthesis.
As a result, small fenestra stapedectomies are now commonly done as outpatients whereas years ago, several days of hospital- ization were required.
In summary, I would consider it more important to know an individual ear surgeon's overall success rate with stapedectomy and that a small fenestra technique is used than it would be to know that he/she uses a laser to perform the procedure.
ofcn.org /cyber.serv/hwp/hwc/ent/news/ent132.html   (362 words)

  
 Re: Stapedectomy   (Site not responding. Last check: 2007-10-30)
Stapedectomy refers to the removal of the stapes and it replacement with a prosthesis.
The stapes is the smallest bone of the body.
There is more information about otosclerosis and stapedectomy in my practice web site at www.earaces.com/otosclerosis.htm.
www.audiologyawareness.com /hhelp/qna/archive/index.cgi?read=626   (522 words)

  
 Editorial Reply 9/98   (Site not responding. Last check: 2007-10-30)
stapedectomy and reconstruction of the sound-conducting mechanism of
With this experience, stapedectomy was easy for us to learn.
Yes, stapedectomy is always ethical, in the right hands.
www.otology-neurotology.org /Editorials/Ed998rep.html   (1398 words)

  
 Postoperative Complications in Otospongiosis: Usefulness of MR Imaging -- Rangheard et al. 22 (6): 1171 -- American ...
A, Coronal CT scan of the left temporal bone shows a soft tissue mass filling the oval window niche (arrow) and surrounding the tympanic portion of the facial nerve and the prosthesis.
C, Axial contrast-enhanced T1-weighted MR image shows an enhancing mass of the oval window niche (arrowhead) spreading within the vestibule (single arrow) and the posterior (double arrows) and lateral (triple arrows) semicircular canals.
A, Coronal CT scan shows complete filling of the middle ear and oval window niche, enlargement of the oval window (double arrows), osseous erosion of the promontory and the lateral semicircular canal (single arrow), and enlargement of the vestibule and superior semicircular canal (arrowhead).
www.ajnr.org /cgi/content/full/22/6/1171   (3144 words)

  
 Helical CT Findings in Patients Who Have Undergone Stapes Surgery for Otosclerosis -- Williams et al. 174 (2): 387 -- ...
Device is correctly inserted on long process of incus (arrow); no gap is seen between footplate plane and tip of prosthesis.
—67-year-old woman with progressive conductive hearing loss occurring 4 years after stapedectomy for stapediovestibular otosclerosis.
—66-year-old woman with progressive conductive hearing loss 11 years after stapedectomy and prosthesis placement performed because of obliterative otosclerosis.
www.ajronline.org /cgi/content/figsonly/174/2/387   (820 words)

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