Hearing results on stapedostomies in complicated platens

Abstract

Stapedostomy is a highly efficient alternative surgical treatment for otosclerosis and with stable results in the long term. One of the factors that may condition a lower postoperatory auditive increase is the presence of significant alterations in the stirrup bone platen. Included in this study are patients with otosclerosis who were subject to stapedostomy between years 2002 and 2005 and in which the presence of obliterated or floating platen is found. Pre and post-operatory values were compared with a reference group constituted by patients subjected to stapedostomy in the same period with blue platen. 14 patients were included, without age or gender differences in connection to controls. There were no significant statistical differences between the groups in connection to bone path, air path, or bone-air difference. No complications appeared in this series. These results show that an adequate surgical technique, together with the experience of the surgical team make stapedostomy a successful alternative in this type of patients.