Stapedectomy
Dr. Farhad Farahani
Surgeon and ENT specialist
Ear surgery specialist
Stapedectomy
Stapedectomy is an ear surgery procedure that is designed to improve the movement of sound to the inner ear and is a suitable treatment for people who have lost their hearing.
Stapedectomy is a procedure to remove the stapes bone in the middle ear and completely replace it with a prosthesis, which is also called stapedectomy.
It is worth noting that in some cases, part of the stapes bone of the middle ear will be removed and a small hole will be created at its end, this procedure is called stapedotomy or stapedotomy.
Hearing process
Hearing has a complex process in that sound vibrations in a normal ear enter the ear canal and then hit the eardrum there.
These vibrations cause the eardrum to move and are transmitted to the three small bones of the middle ear, including the stapes, the anvil, and the hammer.
When the stapes moves, it causes the fluid inside the ear to move, which starts the process of stimulating the auditory nerve.
The auditory nerve transmits sound energy to the brain and causes sound to be heard.
It is worth noting that if any part of this hearing process is impaired, the person's hearing will be affected.
Otosclerosis
This disease is caused by the adhesion of the tiny bones of the middle ear, especially the stapes, and sometimes the result is hearing loss.
By performing stapedectomy surgery, the defective bone can be removed and the hearing can be restored to the person by replacing it with a prosthesis.
How the stapedectomy procedure works
This procedure will be performed through the ear canal and can be performed under general or semi-anesthesia.
The ear surgeon will remove the fixed or defective stapes through the ear canal by moving the eardrum aside and will place a special prosthesis in its place.
The replaced prosthesis will act as a stirrup bone and allow the middle ear ossicles to resume movement, stimulating the middle ear fluid and improving or returning hearing.
After making the necessary changes, a special absorbable dressing called Gelfoam will be placed inside the patient's ear.
Because the dressings are inside the ear, hearing improvement will be determined by removing them after one to two weeks.
Stapedectomy Results
A stapedectomy procedure performed to improve hearing or deafness is about 90% successful.