title: Update of reparative granuloma: survey of the American Otological Society and the American Neurotology Society.
abstract: Members of the American Otological Society and the American Neurotology Society were polled regarding stapes surgery and reparative granuloma. Of 467 questionnaires, 176 (38%) were returned, and 319,410 stapes cases were statistically analyzed: 329 reparative granulomas were reported after stapedectomy (incidence = 0.1%) and 29 after stapedotomy (incidence = 0.07%); 77 surgeons reported having encountered at least one reparative granuloma; and 50 surgeons related the occurrence of a reparative granuloma to a specific graft material. Gelfoam was the most common graft material reported when a reparative granuloma was encountered, followed by fat, and vertigo was the most frequently reported presenting symptom. Reported operative techniques as well as manifestations, management, and outcome are discussed.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Medical College of Virginia, Richmond 23298.
authors.forename: M A
authors.initials: MA
authors.lastname: Seicshnaydre
authors.forename: A
authors.initials: A
authors.lastname: Sismanis
authors.forename: G B
authors.initials: GB
authors.lastname: Hughes
mesh_terms: D000328:Adult; D012048:Correction of Hearing Impairment; D005781:Gelatin Sponge, Absorbable / Q000009:adverse effects*; D006099:Granuloma / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006311:Hearing Disorders / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D009998:Ossicular Prosthesis; D013199:Stapes / Q000473:pathology; D013201:Stapes Surgery / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome