Tag Archives: stapedotomy

PUBLISHED: Laser Stapedotomy for Otosclerosis

Laser Stapedotomy for Otosclerosis
C. Scott Brown, MD; Calhoun D. Cunningham III, MD
Duke University Medical Center

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.

PREPRINT RELEASE: Stapedotomy (Endaural)

Stapedotomy (Endaural)
Duke University Medical Center

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

Dr. David Kaylie demonstrates the endaural approach to the middle ear in order to perform a stapedotomy for conductive hearing loss secondary to otosclerosis. This technique can be utilized for other middle ear conditions, including attic cholesteatomas.