Stapedectomy

A stapedectomy is an outpatient procedure that involves replacement of the stirrup hearing bone. The procedure is typically performed for patients with otosclerosis, a disorder affecting the bone surrounding this hearing bone resulting in its fixation and thus causing a hearing loss. The disorder primarily affects younger adults in their 3rd or 4th decade.

The surgical time for a stapedectomy is about 30 minutes. Most stapedectomies are performed in general anesthesia in our outpatient surgical facility. Some patients will experience some vertigo after the procedure in an overnight stay rarely becomes necessary. The surgery can usually be performed without an incision from the outside. Also, patients are asked to return for a follow-up appointment one week after surgery.

The procedure is a very safe option for patients with otoslerosis. However, sound amplification via a conventional hearing aid is a good alternative to surgical intervention. The main risk associated with surgery is loss of hearing on the operated ear, which can be complete in some cases. This risk has been estimated as about 1 percent. Other risks include lack of hearing improvement and other ear surgery related complications including balance issues. The facial nerve will be monitored during the procedure.

Typical results show a dramatic hearing improvement in more than 90 percent of patients.