How can you perform surgery to improve conductive hearing loss as a result of otosclerosis without making any incision on the outside body?

Otosclerosis is  an autosomal dominant type hereditary disease that fixes the stapes bone preventing the transmission of sound to the inner ear, leading to conductive hearing loss. Stapedotomy is an effective surgical procedure for the treatment of otosclerosis which can improve conductive hearing loss. What are the risks of performing this procedure and how can they be minimized?

Review our new Stapedotomy procedure now available on the Touch Surgery app to learn how our ENT key opinion leaders Dr. Paul Merkus and Dr. Jochen Bretschneider describe how to safely perform this procedure

Key facts:

  • Otosclerosis affects women more frequently than men by a ratio of 2:1 and is more common in caucasians ages between 20-45 years
  • Stapedotomy is a very safe procedure with a relatively low rate of complications.

Stapedectomy is performed through the ear canal, thus it does not require any incisions on the outside of the body.

Dr. Paul Merkus and Dr. Jochen Bretschneider have stated that while positioning to piston loop, it is important to “make sure the piston loop is not too tight to prevent necrosis of the incus long process”. They also highly recommend to “test the complete ossicular chain before closing”

Piston loop correctly positioned on the incus long process.