Right Stapedotomy
Video Type: CVideo- 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: Seilesh Babu
Published:
Specialties: Otolaryngology
Schools: Michigan Ear Institute
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Loading...Otosclerosis causes conductive hearing loss with absent acoustic reflexes. Stapedotomy is a successful surgery that is demonstrated in this video.
Editor Recruited By: Ravi Samy, MD, FACS
Procedure
Stapedotomy with CO2 Laser
Indications
Otosclerosis
Contraindications
Active Meniere's disease, Superior Canal Dehiscence
Instrumentation
Setup
Patient supine under IV sedation. Right ear prepped and draped. 1% lidocaine with epinephrine is infiltrated in ear canal (2cc).
Preoperative Workup
Audiogram, acoustic reflexes obtained confirming conductive hearing loss and absent reflexes.
Anatomy and Landmarks
Advantages/Disadvantages
Complications/Risks
Risks include bleeding, infection, possible injury to the ossicles causing hearing loss, tinnitus, and vertigo. Risk to chorda tympani nerve and facial nerve with subsequent weakness. Risk of complete hearing loss despite perfect surgery as well as risk of needing hearing devices despite surgery either now or in future.
Disclosure of Conflicts
Risks include bleeding, infection, possible injury to the ossicles causing hearing loss, tinnitus, and vertigo. Risk to chorda tympani nerve and facial nerve with subsequent weakness. Risk of complete hearing loss despite perfect surgery as well as risk of needing hearing devices despite surgery either now or in future.
Acknowledgements
References
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