Right Stapedotomy

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
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Author: Seilesh Babu
Published:
Specialties: Otolaryngology
Schools: Michigan Ear Institute
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Basic Info

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

DOI: http://dx.doi.org/10.17797/6c3g45u2tw

Advanced

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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