The influence of the sequence of surgical steps on complications rate in stapedotomy.

Full Abstract

OBJECTIVE:
To assess whether the incidence of complications of stapes surgery depended on the sequence of surgical steps and CO2 laser use in stapes surgery.

STUDY DESIGN AND SETTING:
Retrospective and prospective analysis of 420 consecutive stapedotomies was set in tertiary referral University Hospital.

PATIENTS:
376 patients with otosclerosis in whom 420 primary stapedotomies were performed.

INTERVENTION:
Stapedotomy under local anesthesia using manual perforators and CO2 laser.

MAIN OUTCOME MEASURE:
The incidence of incus subluxation, floating footplate during stapedotomy.

RESULTS:
Comparison of the incidence of incus luxation in groups with the piston inserted after removal of the stapes arch, and groups with the piston inserted on the intact ossicular chain showed statistical significance. In the group where perforation of the footplate was performed after removal of the stapes arch floating footplate occurred more often than in groups with reversed sequence of steps.

CONCLUSION:
Perforation of the footplate before removal of stapes arch reduces the risk of floating footplate, and placing the prosthesis on the incus before removal of stapes arch reduces the risk of subluxation of the incus. CO2 laser stapedotomy with reversed sequence of steps was the safest method of stapes surgery.

Learn Faster Today Improve your study skills

Author information

Author/s: Szymanski, Marcin (M); Golabek, Wieslaw (W); Morshed, Kamal (K); Siwiec, Henryk (H);

Affiliation: Department of Otolaryngology Head and Neck Surgery, Medical University of Lublin, Poland. marcinszym(-atsign-)poczta.onet.pl

Journal and publication information

Publication Type: Journal Article

Journal: Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology (Otol Neurotol), published in United States. (Language: eng)

Reference: 2007-Feb; vol 28 (issue 2) : pp 152-6

Dates: Created 2007/01/26; Completed 2007/03/23;

PMID: 17255881, 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.

Adolescent
Adult
Aged
Child
Female
Hearing Loss, Sensorineural - diagnosis; epidemiology
Humans
Incidence

Incidence
Male
Middle Aged
Otosclerosis - surgery
Postoperative Complications - epidemiology
Prospective Studies
Retrospective Studies
Stapes Surgery - instrumentation; methods

These are the highest related articles currently in the database:

Sympathetic cochleolabyrinthitis in revision stapedectomy surgery. 27 Feb 2002
Stapedotomy for tympanosclerotic stapes fixation: is it safe and efficient? A review of 68 cases. 30 Oct 2002
Statistical analysis of otosclerosis surgery performed by Jean Marquet. 29 Nov 1994
Revision stapes surgery. 27 Feb 1997
Revision stapedectomy. 29 Nov 2000
Audiometric analyses confirm a cochlear component, disproportional to age, in stapedial otosclerosis. 30 Aug 2006
Stapedectomy for far-advanced otosclerosis. 29 Jun 1999
Long-term results in otosclerotic patients operated by stapedectomy or stapedotomy. 30 Dec 1999
Retrospective case study of carbon dioxide laser stapedotomy with lens-based and mirror-based micromanipulators. 30 Mar 2003
Stapedectomy in congenital stapes fixation: are hearing outcomes poorer? 29 Apr 2006

See 100+ related articles.