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Revision stapes surgery

Published online by Cambridge University Press:  29 June 2007

Thomas Somers ,
Paul Govaerts ,
Sebastien Janssens de Varebeke  and
Erwin Offeciers
Thomas Somers*
Affiliation:
University Department of Otolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, University of Antwerp, Oosterveldlaan 24, B-2610 Wilrijk (Antwerp), Belgium.
Paul Govaerts
Affiliation:
University Department of Otolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, University of Antwerp, Oosterveldlaan 24, B-2610 Wilrijk (Antwerp), Belgium.
Sebastien Janssens de Varebeke
Affiliation:
University Department of Otolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, University of Antwerp, Oosterveldlaan 24, B-2610 Wilrijk (Antwerp), Belgium.
Erwin Offeciers
Affiliation:
University Department of Otolaryngology and Head and Neck Surgery, Sint-Augustinus Hospital, University of Antwerp, Oosterveldlaan 24, B-2610 Wilrijk (Antwerp), Belgium.
*
Address for correspondence: Dr Thomas Somers, University Department of Otolaryngology, and Head and Neck Surgery, Sint-Augustinus Hospital, Oosterveldlaan 24, B-2610 Wilrijk (Antwerp), Belgium. Fax: 32-3-443 36 11
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Abstract

This paper reports on the analysis of 332 otosclerosis revision operations. The results have been evaluated with reference to the type of the procedure at primary surgery, the alleged cause of failure and the applied technical solution.

The need for revision surgery was found higher after primary totalstapedectomy (3.4 per cent) than after partial stapedectomy (2.2 per cent) or stapedotomy (two per cent). The reason for revision varied according to the originally applied technique eg a migrated piston, a too short piston and a lateralized graft are almost exclusively foundafter total stapedectomies.

The median hearing gain after revision of stapedotomy and partial stapedectomy was higher (20 dB and 18 dB respectively) than that after revision surgery for total stapedectomy (12 dB), but significantly lower than hearing gain after primary surgery (32 dB).

Revisions yielded better results in the case of primary interventions with the use of a piston or piston- wire than in the case of primary interventions with a wire-type prosthesis. The risk for sensorineural loss (one per cent) was not higher than in primary surgery.

Keywords

Otoscierosis, Stapes surgeryReoperation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 3 , March 1997 , pp. 233 - 239
Copyright
Copyright © JLO (1984) Limited 1997

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