Revision stapedectomy.
Revision stapedectomy can be a technically demanding operation. The surgeon must be prepared for many pathologic conditions before revision stapes surgery. Appropriate preoperative patient counseling is a must. The best chance for hearing improvement is in those cases that have a delayed conductive hearing loss after primary stapedectomy. This article serves as a guideline for discussing the myriad possibilities that may be encountered during this type of revision stapedectomy. Indications for revision stapedectomy and general surgical guidelines for management of specific pathologic conditions are discussed. The material presented is based on literature review, the authors' personal experience, and a review of temporal bone studies relative to stapes surgery.
Battista
Robert A
RA
Department of Otolaryngology, Northwestern University Feinberg School of Medicine, 12-561 303 E. Chicago Avenue, Chicago, IL 60611, USA. r-battista2@northwestern.edu
Wiet
Richard J
RJ
Joy
Jennifer
J
D006314:Hearing Loss, Conductive / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019933:Ossicular Replacement / Q000379:methods; D012086:Reoperation; D013201:Stapes Surgery / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome