Skip to main content
SpringerLink
Log in
Book cover

Surgery of Stapes Fixations pp 79–88Cite as

Intraoperative Complications in Stapedectomy/Stapedotomy

  • Chapter
  • First Online:

  • 655 Accesses

Abstract

Stapedectomy is a hearing reconstruction surgery. Due to its technical challenges, it may finalize with total hearing loss that will be a great controversy for the patient. Most of the causes that lead to sensorineural hearing loss come out due to intraoperative complications.

In this chapter, the author emphasizes the critical points that interfere with the success of the surgery. The problems may begin with the incision and can involve tympanomeatal flap elevation, exposure of the middle ear, handling the chorda tympani nerve, the facial nerve, footplate, as well as the vestibule. Especially the surgical manipulations focused on the footplate and the vestibule are extremely important in regard to the sensorineural hearing loss and postoperative dizziness.

The precautions to refrain from unexpected intraoperative complications as well as the tricks to overcome them are represented in detail.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Schuknecht HF. Sensorineural hearing loss following stapedectomy. Acta Otolaryngol. 1962;54:336–48. Guyot JP, Sakbeni K. Patients’ lives following stapedectomy complications. Adv Otorhinolaryngol. 2007;65:348–52.

    Google Scholar 

  2. Guyot JP, Sakbeni K. Patients’ lives following stapedectomy complications. Adv Otorhinolaryngol. 2007;65:348–52.

    PubMed  Google Scholar 

  3. Gopalan P, Kumar M, Gupta D, Phillipps JJ. A study of chorda tympani nerve injury and related symptoms following middle-ear surgery. J Laryngol Otol. 2005;119:189–92.

    CAS  PubMed  Google Scholar 

  4. Clark MPA, O’Malley S. Chorda tympani nerve function after middle ear surgery. Otol Neurotol. 2007;28:335–40.

    Article  PubMed  Google Scholar 

  5. Miuchi S, Sakagami M, Tsuzuki K, Noguchi K, Mishiro Y, Katsura H. Taste disturbance after stapes surgery – clinical and experimental study. Acta Otolaryngol Suppl. 2009;562:71–8.

    Article  PubMed  Google Scholar 

  6. Nikolaidis V. Traumatic dislocation of the incudostapedial joint repaired with fibrin tissue adhesive. Laryngoscope. 2011;121:577–9.

    Article  PubMed  Google Scholar 

  7. Wegner I, Kamalski D, Tange RA, Vincent R, Stegeman I, van der Heijden GJM, Grolman W. Laser versus conventional fenestration in stapedotomy for otosclerosis: a systematic review Laryngoscope, 2013;124:1687–93, 2014.

    Google Scholar 

  8. Fang L, Lin H, Zhang TY, Tan J. Laser versus non-laser stapedotomy in otosclerosis: a systematic review and meta-analysis. Auris Nasus Larynx. 2014;41:337–42.

    Article  PubMed  Google Scholar 

  9. Neff BA, Lippy WH, Schuring AG, Rizer FM. Stapedectomy in patients with a prolapsed facial nerve. Otolaryngol Head Neck Surg. 2004;130:597–603.

    Article  PubMed  Google Scholar 

  10. Matkovic S, Kitanoski B, Malicevic Z. Advantages of CO2 laser use in surgical management of otosclerosis. Vojnosanit Pregl. 2003;60:273–8.

    Article  PubMed  Google Scholar 

  11. Motta G, Moscillo L. Functional results in stapedotomy with and without CO(2)laser. ORL J Otorhinolaryngol Relat Spec. 2002;64:307–10.

    Article  PubMed  Google Scholar 

  12. Malafronte G, Filosa B, Cantone E. New macroscopic classification of stapedio-ovalar otosclerosis: a simplified rating for training in stapedotomy. Otol Neurotol. 2008;29:889–92.

    Article  PubMed  Google Scholar 

  13. Malafronte G, Filosa B, Barillari MR. Stapedotomy: is the color of the footplate important in the choice of the type of perforator? Otol Neurotol. 2011;32:1047–149.

    Article  PubMed  Google Scholar 

  14. Vincent R, Bittermann AJN, Oates J, Sperling N, Grolman W. KTP Versus CO2 laser fiber stapedotomy for primary otosclerosis: results of a new comparative series with the otology-neurotology database. Otol Neurotol. 2012;33:928–33.

    Article  PubMed  Google Scholar 

  15. Lau CC, Oghalai JS, Jackler RK. Combination of aberrant internal carotid artery and persistent stapedial artery. Otol Neurotol. 2004;25:850–1.

    Article  PubMed  Google Scholar 

  16. Lasjaunias P, Santoyo-Vazquez A. Segmental agenesis of the internal carotid artery: angiographic aspects with embryological discussion. Anat Clin. 1984;6:133–41.

    Article  CAS  PubMed  Google Scholar 

  17. Purohit B, Hermans R, Op de beeck K. Imaging in otosclerosis: a pictorial review. Insights Imaging. 2014;5:245–52.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Carlson ML, Haberman RS. Loss of stapes prosthesis into vestibule during stapedectomy: a case report. Otol Neurotol. 2007;28:510–2.

    Article  PubMed  Google Scholar 

  19. Ikeda R, Nakaya K, Oshima H, Oshima T, Kawase T, Kobayashi T. Effect of aspiration of perilymph during stapes surgery on the endocochlear potential of guinea pig. Otolaryngol Head Neck Surg. 2011;145(5):801–5.

    Article  PubMed  Google Scholar 

  20. Farrior B, Endicott JN. Congenital mixed deafness: cerebrospinal fluid otorrhea. Ablation of the aqueduct of the cochlea. Laryngoscope. 1971;81:684–99.

    Article  CAS  PubMed  Google Scholar 

  21. Causse J, Causse JB. Eighteen-year report on stapedectomy. I: problems of stapedial fixation. Clin Otolaryngol. 1980;5:49–59.

    Article  CAS  PubMed  Google Scholar 

  22. Causse JB, Causse JR, Wiet RJ, Yoo TJ. Complications of stapedectomies. Am J Otol. 1983;4:275–80.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sogutozu Otolaryngology Department, Bayindir Hospital, Ankara, Turkey

    O. Nuri Ozgirgin

Authors
  1. O. Nuri Ozgirgin
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to O. Nuri Ozgirgin .

Editor information

Editors and Affiliations

  1. Dept. Otorhinolaryngology, University of Debrecen, Debrecen, Hungary

    Istvan Sziklai

7.1 Electronic Supplementary Material

Video 7.1

Tympanic membrane perforation during stapes surgery (MP4 94824 kb)

Video 7.2

Revision stapes surgery with malleostapedotomy (MP4 36577 kb)

Video 7.3

Footplate below the facial nerve (MP4 20945 kb)

Video 7.4

Facial nerve neurinoma (MP4 162755 kb)

Video 7.5

Obliterative otosclerosis (MP4 27093 kb)

Video 7.6

Persistent stapedial artery (AVI 181313 kb)

Video 7.7

Revision stapedectomy for conductive hearing loss (MP4 42249 kb)

Video 7.8

Revision stapes surgery for intractable dizziness (MP4 58 bytes) (MP4 57016 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Ozgirgin, O.N. (2016). Intraoperative Complications in Stapedectomy/Stapedotomy. In: Sziklai, I. (eds) Surgery of Stapes Fixations. Springer, Cham. https://doi.org/10.1007/978-3-319-28576-4_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-28576-4_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28574-0

  • Online ISBN: 978-3-319-28576-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation