Revision Stapes Surgery: Hearing Symptoms and Associations With Intraoperative Findings and Outcomes.
Otolaryngology and head and neck surgery
OBJECTIVE: Stapes surgery for otosclerosis occasionally requires revision due to recurrent or persistent conductive hearing loss (CHL). This study examines outcomes after revision stapes surgery.
STUDY DESIGN: Retrospective review.
SETTING: Single tertiary neurotology center.
METHODS: Patients undergoing revision stapes surgery for otosclerosis from 2008 to 2017 were reviewed. Postoperative air-bone gaps (ABGs) were the primary outcome measure.
RESULTS: During the study period, 150 patients underwent revision stapes surgery. One hundred patients (67%) had gradually progressive recurrent CHL; 16 (11%), sudden recurrent CHL; 13 (9%), persistent CHL; and 21 (14%), no CHL. For 129 patients with CHL, the mean ABG improved from 23.7 to 9.3 dB (
CONCLUSIONS: Revision stapes surgery confers significant improvement in hearing for patients with persistent and recurrent CHL, although patients with persistent CHL after initial surgery see less improvement with revision.
Luryi AL, Schettino A, Michaelides EM, Babu S, Bojrab DI, Schutt CA. Revision stapes surgery: hearing symptoms and associations with intraoperative findings and outcomes. Otolaryngol Head Neck Surg. 2022 Aug;167(2):350-355. doi: 10.1177/01945998211062074. PMID: 34846954.