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DOI: 10.1055/s-0044-1792086
Stapedotomy or Stapedectomy: Does It Really Matter?
Authors
Funding The authors declare that they did not receive funding from agencies in the public, private or non-profit sectors to conduct the present study.
Abstract
Introduction Otosclerosis leads to stapes fixation and consequent conductive hearing loss. Surgery is the mainstay of treatment, and it can be achieved through small fenestra stapedotomy or stapedectomy. Despite the first being favored by most, evidence supporting its superiority over the latter remains inconclusive.
Objective To assess the hearing outcomes and complications of stapes surgery performed in a series of patients with otosclerosis and compare the results of stapedotomy with stapedectomy.
Methods A retrospective study of 134 ears in 125 otosclerosis patients undergoing primary stapes surgery was conducted. Patients underwent either stapedotomy or stapedectomy, and outcomes were compared using pre- and postoperative audiometric data and complication rates.
Results Most cases (81%) underwent stapedotomy. Both techniques resulted in significant improvement in air-bone gap (ABG) and speech recognition threshold (SRT) postoperatively, with no significant difference between them. Complication rates were comparable between techniques, with no statistical difference in postoperative complications.
Conclusion Both stapedotomy and stapedectomy offer favorable hearing outcomes with low complication rates in otosclerosis patients. While stapedotomy remains the preferred technique, if the initial plan shifts to a stapedectomy, surgeons should remain composed and confident in a good hearing outcome.
# Both authors contributed equally.
Publikationsverlauf
Eingereicht: 27. Mai 2024
Angenommen: 03. September 2024
Artikel online veröffentlicht:
10. Januar 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
Francisco Teixeira-Marques, Rita Vaz Osório, Mónica Teixeira, Joana Rebelo, Sandra Gerós, Diamantino Helena, António Faria de Almeida, Pedro Oliveira. Stapedotomy or Stapedectomy: Does It Really Matter?. Int Arch Otorhinolaryngol 2025; 29: s00441792086.
DOI: 10.1055/s-0044-1792086
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