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What is stapedectomy?

A minimally invasive procedure called stapedectomy surgery is used to treat hearing loss brought on by sclerosis or damage to the middle ear's small stapes (stirrup bone). The stapes is completely removed during surgery, and a prosthetic is then implanted to mimic the motion of a healthy stapes bone and restore the patient's hearing.

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What Happens during a stapedectomy?

Most ENT doctors often opt for a careful waiting strategy or hearing aids for mild otosclerosis. Although otosclerosis-related damage cannot be repaired, hearing aids can help patients hear better before the illness worsens.

The surgeon may advise a stapedectomy if the patient has a significant hearing loss. In more complex procedures today, local anaesthesia is favoured since it allows for an outpatient treatment and prevents problems from anaesthesia.

The ENT surgeon may raise the tympanum and get access to the middle ear using a laser or a tiny tool. The necessary stapes component is then removed, and its place is filled by a prosthetic device.

How to prepare for the surgery?

The patient should be well informed of the advantages and disadvantages of having a stapedectomy before having the procedure. The patient should be prepared for the extremely small possibility that they may experience permanent sensorineural hearing loss as a result of the procedure. In order for patients to prevent difficulties, postoperative recovery should also be carefully explained to them.

  • Smoking reduces the body's capacity to heal itself, so you should stop at least a few weeks before your operation.
  • Keep your diet and weight in check. Exercise lightly to moderately.
  • Obtain your general practitioner or primary care provider's clearance for the procedure if you have any pre-existing problems.

What are recovery tips for stapedectomy surgery?

If a patient has a desk job or leads a sedentary lifestyle, they may often resume their everyday activities after a week, but they must wait at least 3–4 weeks before engaging in intense activity like heavy lifting, exercising, jogging, etc.

  • Keep your ear dry, particularly until your eardrum has fully recovered. Close the ear canal with a silicone plug or cotton ball smeared in Vaseline while taking a bath or shower. Once you're finished, take out the cotton ball and clean the area around the outer ear.
  • Flying should be avoided until your ear has fully recovered since the air pressure fluctuations during flight might cause the prosthesis to become loose. Around three weeks following surgery, the majority of patients are able to fly.
  • Till the ear has healed, refrain from using earphones. You can ask your ENT to provide the go-ahead for over-the-ear headphones if you wish to.

Does insurance provide coverage for stapedectomy?

Yes, as a medically essential treatment, stapedectomy is typically reimbursed by insurance. To be certain, you should consult your policy's terms or get in touch with your insurance company.

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Which procedure—stapedectomy or stapedotomy—is superior?

An exact hole is made in the stapes bone using a laser during a stepdotomy so that an implant may be inserted. A piston-shaped implant is then used to replace the immobile portion of the stapes. The procedure offers better healing, improved hearing, and a lesser risk of problems because the entire stapes bone is not removed. As a result, stapedotomy is currently preferred over stapedectomy by the majority of surgeons.

Are hearing aids superior than stapedectomy for treating otosclerosis?

Although hearing aids increase hearing abilities, they do not cure the underlying disease, which is why most people think they are better because they do not require surgery. They are thus not suggested for those who have developing hearing issues.

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