Stapedotomy with CO2 Laser

Otosclerosis

Active Meniere's disease, Superior Canal Dehiscence

Patient supine under IV sedation. Right ear prepped and draped. 1% lidocaine with epinephrine is infiltrated in ear canal (2cc).

Audiogram, acoustic reflexes obtained confirming conductive hearing loss and absent reflexes.

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.

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.