Revision stapes surgery: retrospective analysis of surgical findings in a series of 21 otosclerosis patients.

Full Abstract

AIM:
Retrospective analysis of surgical findings in revision stapes surgery in a group of 21 otosclerosis patients qualified for the secondary procedure at the Otosurgery Department of the Medical University of Lodz, Poland, from 1980 to 2002.

MATERIALS AND METHODS:
21 cases of revision stapes surgery out of a total of 350 surgically treated otosclerosis cases are discussed. Group A consisted of 17 cases of revision surgery out of 274 patients who had undergone total stapedectomy (1980-1995) and group B consisted of 4 cases out of 76 patients after stapedotomy (1996-2002).

RESULTS:
In group A, 17 patients underwent revision surgery, corresponding to 6.2% out of 274 total stapedectomy cases. Among the indications for the secondary surgical procedure in this group of patients were:
(a) platinum wire prosthesis displacement with ossicular chain discontinuity (n = 12); (b) perichondrium or adipose tissue atrophy (n = 3), and (c) incudostapedial joint luxation (n = 2). Group B was composed of 4 cases, i.e. 5.3% out of 76 stapedotomy patients (Teflon piston operation, 0.6 mm). For both groups, the mean percentage of revision cases was 6% of all patients operated for otosclerosis. Time from the initial surgical procedure to reoperation varied from 1 to 8 years.

CONCLUSIONS:
(1) The most common indication for revision stapes surgery in patients after total stapedectomy was prosthesis displacement and necrosis of the long crus of the incus. (2) Obliteration of the stapes footplate after small fenestra operation was observed to be the most frequent indication for the secondary stapes procedure in our patient groups.

Learn Faster Today Improve your study skills

Author information

Author/s: Durko, Marcin (M); Kaczmarczyk, Dariusz (D); Durko, Tomasz (T);

Affiliation: Department of Otosurgery, Medical University of Lodz, Lodz, Poland. durko(-atsign-)csk.umed.lodz.pl

Journal and publication information

Publication Type: Journal Article; Research Support, Non-U.S. Gov't

Journal: Advances in oto-rhino-laryngology (Adv Otorhinolaryngol), published in Switzerland. (Language: eng)

Reference: 2007-; vol 65 (issue ) : pp 273-7

Dates: Created 2007/01/24; Completed 2007/04/16;

PMID: 17245058, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article (including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.

MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Bone Conduction
Fenestration, Labyrinth
Hearing Loss, Conductive - surgery
Humans
Incus - surgery
Ossicular Prosthesis
Otosclerosis - surgery

Otosclerosis - surgery
Postoperative Complications - surgery
Prosthesis Design
Prosthesis Failure
Reoperation
Retrospective Studies
Stapes Surgery

These are the highest related articles currently in the database:

Revision stapedectomy: intraoperative findings, results, and review of the literature. 30 Aug 1997
Stapedectomy versus stapedotomy. 30 Dec 2006
Revision stapes surgery: the malleus to oval window wire-piston technique. 30 Aug 2003
Ossicular fixation caused by bone dust after saccus decompression surgery. 30 Oct 2002
Malleostapedotomy: the Marburg experience. 30 Dec 2006
The influence of the footplate-perilymph interface on postoperative bone conduction. 30 Dec 2006
Tympano-ossiculoplasty utilizing the Spiggle and Theis titanium total ossicular replacement prosthesis. 30 Aug 2003
Revision stapes surgery. 30 Dec 2006
[Stapes revisions: clinical findings and results] 29 Jun 1995
Malleostapedotomy in tympanosclerosis patients. 23 May 2007

See 100+ related articles.