What is it about?
Primary stapes surgery with stapedotomy or stapedectomy already belongs to the most challenging interventions in ear surgery. In spite of an acute risk of deafness in 0.5-1 percent of all primary interventions, as described in the literature, this procedure has still a good benefit-risk ratio due to the improvement in hearing and quality of life that is usually achieved.
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Why is it important?
Revision interventions are very heterogeneous procedures, both in terms of the indication and the surgical approach, and are generally considered to be significantly more demanding.
Perspectives
Depending on the individual preoperative case history and findings, different recommendations for the indication of a surgical revision can be derived. In addition, there are patterns regarding the chances of success of a revision, especially in cases of persistent conductive hearing loss chances of hearing improvement seem possible in more than 80% of cases.
Daniel Polterauer
Ludwig-Maximilians-Universitat Munchen
Read the Original
This page is a summary of: Revision stapes surgery – aspects of indication and surgical strategies based on 114 surgical cases, May 2023, Thieme Publishing Group,
DOI: 10.1055/s-0043-1767308.
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