Sound causes vibrations of the stapes bone. The vibrations pass into the fluid of the inner ear which allow you to hear. If the stapes bone cannot vibrate hearing will be decreased or lost.
is a common reason for a stapedectomy. Otosclerosis is a growth of bone around the stapes that prevents the vibration of the stapes bone and leads to hearing loss. Surgery is required to improve hearing. A stapedectomy removes the damaged stapes and replaces it with an artificial one.
The surgery may also be done to correct a stapes that is fractured or abnormally shaped.
Before the surgery, your doctor may have images taken.
Leading up to your procedure:
Certain medications may cause complications during the procedure or recovery. These medications may need to be stopped up to 1 week before the procedure. Talk to your doctor before the procedure about all medications you are taking.
Do not start any new medications, herbs, or supplements without talking to your doctor.
Arrange for a ride home from the procedure.
Arrange for help at home as you recover.
The night before, eat a light meal. Do not eat or drink anything after midnight unless told otherwise by your doctor.
Anesthesia may be general or local. The type of anesthesia used will depend on your procedure and general health.
With general anesthesia, you will be asleep throughout the procedure.
Local anesthesia will numb the area but you will be awake. You may also be given a sedative to help you relax.
Special tools are used through the ear canal to access and view the middle ear. The eardrum will be gently lifted to allow access to the stapes bone. The stapes bone will be removed. Sometimes a laser is used to destroy parts of the bone and the remaining pieces are removed.
An artificial stapes replacement will be put in place. Once the new device is secure, the eardrum will be put back into place. A cotton or ointment plug may be placed in your ear canal. This packing will help keep the eardrum in place and protect the new stapes bone until it can set.
Otosclerosis and stapedectomy. Michigan Ear Institute website. Available at: ...(Click grey area to select URL) Accessed August 29, 2017.
Post-operation expectations. Ear Surgery Information Center website. Available at: ...(Click grey area to select URL) Accessed August 29, 2017.
Stapedectomy. Marshfield Clinic website. Available at: https://www.marshfieldclinic.org/MedicalSpecialties/Pages/Stapedectomy.aspx. Accessed August 29, 2017.
Stapedectomy (surgery for otosclerosis). Baylor College of Medicine website. Available at: https://www.bcm.edu/healthcare/care-centers/center-hearing-balance/procedures/stapedectomy. Accessed August 29, 2017.
Surgery for otosclerosis: postoperative instructions. Hartford Hospital website. Available at: https://hartfordhospital.org/File%20Library/Services/Hearing/POST-OP-Stapedectomy.pdf. Accessed August 29, 2017.