We prospectively studied 48 otosclerosis patients over a 2-year interval. Forty-four had stapedotomy, and four had stapedectomy. Demographics, clinical history, and pre- and postoperative audiometry results were recorded. A questionnaire asking about tinnitus (intensity, pitch) and including a visual analog scale quantifying the degree (1-10) of annoyance caused by the tinnitus was completed pr...

OTOSCLEROSIS is a disease process which arises in the otic capsule in which the normal bone is replaced by new spongy bone. This process begins most commonly just anterior to the oval window fossa in which the stapes sits. Involvement of the stapes in the disease process reduces its mobility, thus resulting in a conductive deafness. Until the fenestration operation was introduced no surgical tr...

OBJECTIVE To relate poststapedectomy change in tinnitus loudness to change in tinnitus severity. STUDY DESIGN Prospective, within-subjects. SETTING A single otology and neurotology subspecialty referral practice. SUBJECTS AND METHODS Forty-nine subjects undergoing stapedectomy completed the study between January 2012 and October 2013. Tinnitus instruments, audiometric data, and demographi...

Since the advent of stapedotomy and its use in the treatment of otosclerosis, a few complications have been reported in the literature. Among them, the granulomatous reaction, described by Harris and Weiss in 1962, is rare. It is an excessive inflammation that forms granulation tissue around the prosthesis and the oval windows. Although the etiology is uncertain, several authors believe that th...

INTRODUCTION Stapes fixation combined with disorders of the incudo-malleolar complex disorders requires a sound transmission reconstruction that often is difficult to solve. This circumstance can turn up in several pathologies and also in revision surgery for otosclerosis. PATIENTS AND METHODS We present our experience with four patients that underwent to malleostapedotomy with removal of the...

INTRODUCTION Different types of titanium prostheses are used for different types of ossicular chain reconstruction (OCR). However, various ossicular chain problems require different types of reconstruction (incus or prosthesis). Recently, Vincent et al. published a new type of ossiculoplasty with a malleus replacement prosthesis (MRP). The details of this new prosthesis are described in their a...