Abstract
Stapedectomy is a hearing reconstruction surgery. Due to its technical challenges, it may finalize with total hearing loss that will be a great controversy for the patient. Most of the causes that lead to sensorineural hearing loss come out due to intraoperative complications.
In this chapter, the author emphasizes the critical points that interfere with the success of the surgery. The problems may begin with the incision and can involve tympanomeatal flap elevation, exposure of the middle ear, handling the chorda tympani nerve, the facial nerve, footplate, as well as the vestibule. Especially the surgical manipulations focused on the footplate and the vestibule are extremely important in regard to the sensorineural hearing loss and postoperative dizziness.
The precautions to refrain from unexpected intraoperative complications as well as the tricks to overcome them are represented in detail.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Schuknecht HF. Sensorineural hearing loss following stapedectomy. Acta Otolaryngol. 1962;54:336–48. Guyot JP, Sakbeni K. Patients’ lives following stapedectomy complications. Adv Otorhinolaryngol. 2007;65:348–52.
Guyot JP, Sakbeni K. Patients’ lives following stapedectomy complications. Adv Otorhinolaryngol. 2007;65:348–52.
Gopalan P, Kumar M, Gupta D, Phillipps JJ. A study of chorda tympani nerve injury and related symptoms following middle-ear surgery. J Laryngol Otol. 2005;119:189–92.
Clark MPA, O’Malley S. Chorda tympani nerve function after middle ear surgery. Otol Neurotol. 2007;28:335–40.
Miuchi S, Sakagami M, Tsuzuki K, Noguchi K, Mishiro Y, Katsura H. Taste disturbance after stapes surgery – clinical and experimental study. Acta Otolaryngol Suppl. 2009;562:71–8.
Nikolaidis V. Traumatic dislocation of the incudostapedial joint repaired with fibrin tissue adhesive. Laryngoscope. 2011;121:577–9.
Wegner I, Kamalski D, Tange RA, Vincent R, Stegeman I, van der Heijden GJM, Grolman W. Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review Laryngoscope, 2013;124:1687–93, 2014.
Fang L, Lin H, Zhang TY, Tan J. Laser versus non-laser stapedotomy in otosclerosis: a systematic review and meta-analysis. Auris Nasus Larynx. 2014;41:337–42.
Neff BA, Lippy WH, Schuring AG, Rizer FM. Stapedectomy in patients with a prolapsed facial nerve. Otolaryngol Head Neck Surg. 2004;130:597–603.
Matkovic S, Kitanoski B, Malicevic Z. Advantages of CO2 laser use in surgical management of otosclerosis. Vojnosanit Pregl. 2003;60:273–8.
Motta G, Moscillo L. Functional results in stapedotomy with and without CO(2)laser. ORL J Otorhinolaryngol Relat Spec. 2002;64:307–10.
Malafronte G, Filosa B, Cantone E. New macroscopic classification of stapedio-ovalar otosclerosis: a simplified rating for training in stapedotomy. Otol Neurotol. 2008;29:889–92.
Malafronte G, Filosa B, Barillari MR. Stapedotomy: is the color of the footplate important in the choice of the type of perforator? Otol Neurotol. 2011;32:1047–149.
Vincent R, Bittermann AJN, Oates J, Sperling N, Grolman W. KTP Versus CO2 laser fiber stapedotomy for primary otosclerosis: results of a new comparative series with the otology-neurotology database. Otol Neurotol. 2012;33:928–33.
Lau CC, Oghalai JS, Jackler RK. Combination of aberrant internal carotid artery and persistent stapedial artery. Otol Neurotol. 2004;25:850–1.
Lasjaunias P, Santoyo-Vazquez A. Segmental agenesis of the internal carotid artery: angiographic aspects with embryological discussion. Anat Clin. 1984;6:133–41.
Purohit B, Hermans R, Op de beeck K. Imaging in otosclerosis: a pictorial review. Insights Imaging. 2014;5:245–52.
Carlson ML, Haberman RS. Loss of stapes prosthesis into vestibule during stapedectomy: a case report. Otol Neurotol. 2007;28:510–2.
Ikeda R, Nakaya K, Oshima H, Oshima T, Kawase T, Kobayashi T. Effect of aspiration of perilymph during stapes surgery on the endocochlear potential of guinea pig. Otolaryngol Head Neck Surg. 2011;145(5):801–5.
Farrior B, Endicott JN. Congenital mixed deafness: cerebrospinal fluid otorrhea. Ablation of the aqueduct of the cochlea. Laryngoscope. 1971;81:684–99.
Causse J, Causse JB. Eighteen-year report on stapedectomy. I: problems of stapedial fixation. Clin Otolaryngol. 1980;5:49–59.
Causse JB, Causse JR, Wiet RJ, Yoo TJ. Complications of stapedectomies. Am J Otol. 1983;4:275–80.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
7.1 Electronic Supplementary Material
Video 7.1
Tympanic membrane perforation during stapes surgery (MP4 94824 kb)
Video 7.2
Revision stapes surgery with malleostapedotomy (MP4 36577 kb)
Video 7.3
Footplate below the facial nerve (MP4 20945 kb)
Video 7.4
Facial nerve neurinoma (MP4 162755 kb)
Video 7.5
Obliterative otosclerosis (MP4 27093 kb)
Video 7.6
Persistent stapedial artery (AVI 181313 kb)
Video 7.7
Revision stapedectomy for conductive hearing loss (MP4 42249 kb)
Video 7.8
Revision stapes surgery for intractable dizziness (MP4 58 bytes) (MP4 57016 kb)
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Ozgirgin, O.N. (2016). Intraoperative Complications in Stapedectomy/Stapedotomy. In: Sziklai, I. (eds) Surgery of Stapes Fixations. Springer, Cham. https://doi.org/10.1007/978-3-319-28576-4_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-28576-4_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28574-0
Online ISBN: 978-3-319-28576-4
eBook Packages: MedicineMedicine (R0)