The goal of any stapes procedure is to restore the vibration of fluids within the cochlea; increasing communication secondary to increasing sound amplification and bringing hearing levels to acceptable thresholds. Performing a stapedectomy serves as a way to re-establish sound transmission.
Performing a stapedectomy serves as a way to re-establish sound transmission through an ossicular chain that has likely been stiffened through the disease process known as otosclerosis, which has caused a conductive hearing loss.
The most vital factor for a successful surgical outcome is the experience of the surgeon who is utilizing the ever-changing techniques and technologies in this field.
Indications for Stapedectomy Surgery
• Surgeons perform this surgery when otosclerosis is the primary reason for your hearing loss.
• The surgeon will treat the ear with worse hearing first if the condition is affecting both ears.
Not all otosclerosis patients require stapedectomy. In some cases, their loss of hearing isn't bad enough to need surgery. In these cases, individuals prefer the use of a hearing aid over surgery to help their hearing. Surgery can also help with hearing aid use.
• Overall good health is where you're able to tolerate anaesthesia, particularly when you need general anaesthesia.
• Good cochlear reserve showed by good speech discrimination presence — not necessarily a universal requirement, though.
• The ear with the worse hearing should undergo surgery first, based on your report, instead of an audiography.
Hearing Improvement Following Stapes Surgery
Hearing improvement may or may not be noticeable during surgery or immediately afterwards. If the hearing improves at the time of surgery, it usually decreases in a few hours due to swelling in the ear. Improvements in hearings may be apparent within three weeks of surgery. Maximum hearing, however, can be obtained in approximately six months.
The degree of hearing improvement depends on how the ear heals. For the majority of patients, the ear heals perfectly and hearing improvement is as anticipated. For some, the hearing improvement is only partial or temporary. In these cases, the ear usually may be re-operated upon with a good chance of success.