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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Stapedotomy performed with microdrill technique for otosclerosis: hearing results and complications

Meeting Abstract

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  • corresponding author presenting/speaker Fahd Alharbi - Bad Hersfeld Klinikum, Bad Hersfeld, Germany
  • Martin Spreng - Bad Hersfeld Klinikum, Bad Hersfeld, Germany
  • author Peter Issing - Bad Hersfeld Klinikum, Bad Hersfeld, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno040

DOI: 10.3205/10hno040, URN: urn:nbn:de:0183-10hno0409

Published: July 6, 2010

© 2010 Alharbi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

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Objective: This paper describes the technique of low-speed microdrilling during stapedotomy in individuals with otosclerosis. It also evaluates the hearing results and complications using this technique to perform stapedotomy.

Material and method: A retrospective study of 45 stapes surgeries done in the past 6 years were reviewed. The technique was evaluated using audiometric results (air-bone gap closure, pure tone audiogram) and the rate of complications. The stapedotomy is made with drilling the posterior crus of the stapes using the microdrill as close to the footplate as possible. The incudostapedial joint is separated with a joint knife, and the suprastructure is down fracturedwith a right-angled pick. A fenestration is made in the central area of the footplate using the microdrill and the perforator. In these surgeries, the Teflon prosthesis was used.

Result: The postoperative results using microdrill technique demonstrated improvement in hearing. Microdrill stapedotomy showed to be a save procedure.