Type of Surgery
Information
Last updated: 11/24/2009
Alternatives to a stapedectomy include:
- Watchful waiting. Some patients with only a mild degree of hearing loss may prefer to postpone surgery.
- Medications. Although there is no drug that can cure otosclerosis, some compounds containing...
fluoride or calcium are reported to be effective in preventing further hearing loss by slowing down abnormal bone growth. The medication most commonly recommended for the purpose is a combination of sodium fluoride and calcium carbonate sold under the trade name Florical. The medication is taken twice a day over a two-year period, after which the patient's hearing is reevaluated. Florical should not be used during pregnancy, however. - Hearing aids.
- Stapedotomy. A stapedotomy is a surgical procedure similar to a stapedectomy except that the surgeon uses the laser to cut a hole in the stapes in order to insert the prosthesis rather than removing the stapes. In addition, some ear surgeons use the laser to free the stapes bone without inserting a prosthesis. This variation, however, works best in patients with only mild otosclerosis.
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The human ear requires a number of highly specialized anatomical structures in order to transform sound wave energy into actually sounds recognized by the brain. This animation shows the various structures of the outer, middle and inner ear and how they work together to detect sound.
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Other Information
A stapedectomy is a surgical procedure of the middle ear performed to improve hearing. The world's first stapedectomy is credited to Dr. John J. Shea, Jr., performed in May, 1956, the first patient being a 54 year-old housewife who could no longer hear even with a hearing aid. In recent years, Dr. William H. Lippy, from Warren, Ohio, has been credited with a multitude of advances in the surgery including his speciality which is revision surgery.
Other Information
In 2000, children's risk of surgery increased from 17.9% in 1981 to 20.2% in 1998/99, while ENT surgery rates increased by 21% over the period.
From: NCBI
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