Otosclerosis can lead to progressive conductive hearing loss, significantly affecting quality of life. For patients who choose surgery, the tympanic membrane is elevated, and the middle ear space is explored. If the surgeon confirms that the stapes is fixed in the oval window, either a stapedotomy or stapedectomy can be performed.
In the stapedotomy, the surgeon removes the stapes superstructure, creates a fenestration in the footplate, and places a prosthesis from the incus through the fenestration into the vestibule. In this instance, the patient was able to regain nearly all of the hearing that had been lost as a result of stapes fixation.
Ryan A. Hankins, MD Assistant Professor of Urology Specialty Director of Urology MedStar Georgetown University Hospital
The patient in this case is a 76-year-old male who was admitted to the ER two weeks prior and was found to have an obstructing, 1-cm left proximal ureteral stone with a forniceal rupture. A left ureteral stent was placed, and he was started on antibiotics. In this video, Dr. Ryan Hankins at MedStar Georgetown University Hospital performs definitive management of the stone with a left ureteroscopy, laser lithotripsy, and stent replacement.
David M. Kaylie, MD, MS
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences
C. Scott Brown, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences
A patient with eustachian tube dysfunction and a history of multiple pressure equalization tubes presents to an otolaryngology clinic with complaints of hearing loss. Her eardrum was found to be hyperinflated on exam. Dr. David Kaylie demonstrates a myringoplasty technique using a CO2 laser, along with placement of a tympanostomy tube.
A patient with pulsatile tinnitus is found to have a glomus tympanicum tumor of the right ear. Calhoun Cunningham III, MD performs a transcanal resection of the mass using the KTP laser.
