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Stapedotomy:
Stapedotomy is a surgical procedure carried out to replace the innermost bone (stapes) of the middle ear with prosthesis. This procedure is carried out to improve the progressive hearing loss in otosclerotic patients, a condition in which spongy bone hardens around the base of the stapes.
Indications:
- Progressive conductive hearing loss
Stapedotomy is carried out either under local or general anesthesia. The approach into the middle ear is either through an endoscope or a small incision that is made above the ear canal called an endaural incision. The eardrum is then lifted so that the middle ear is entered and exposed. The ossicular chain mobility is checked and diagnosis is confirmed. Stapes suprastructure is removed and hole is made in the stapes footplate. A piston-type prosthesis is inserted into the stapedotomy hole and procedure is completed.
Things to do during recovery:
- Take the prescribed medication
- Keep operated ear dry for 2-3 weeks
- Avoid forceful blowing of nose
- Avoid swimming and flying in an airplane for 3 weeks
- Avoid all actions that cause strain, such as aerobics and jogging, for up to 3 weeks
Following are the indications for immediate medical care post-surgery:
- Severe dizziness with inability to walk alone