Otosclerosis: Surgical Therapy

1st order

• Staple surgery:
  • Partial or complete surgical removal of the stapes:
    • Stapedotomy (partial stapes removal) [gold standard].
    • Stapedectomy (stapes removal).
  • Stapes replacement prostheses

Note: Hearing improvement sought through surgery cannot be guaranteed to the patient preoperatively!

Possible complications of stapesplasty

• Complete deafness (due to surgical work on the entry port to the inner ear!).
• Failure of the vestibular organ with consecutive vertigo and damage to the facial nerve (facial nerve paralysis including taste disorders).