[Acute complications during middle ear surgery: part 2: Accidents in classical stapes surgery and their solutions].
Stapes surgery is remarkably different from regular middle ear surgery. The inner ear space has to be opened and the risk of postoperative deterioration of hearing and deafness is much higher. Peculiarities involve submerged parts of the foot plate into the vestibulum, the overhanging facial nerve with or without bony covering, bleeding from the mucosa, and problems involving the chorda tympani. Labyrinthine reactions during or post surgery are common. Important is the question of whether or when the piston should be removed. Rare cases such as a gusher with a wide connection between perilymph and CSF space are a major challenge in stapes surgery.
Schwager
K
K
Klinik für Hals-Nasen-Ohrenkrankheiten, Kopf-, Hals- und Plastische Gesichtschirurgie, Kommunikationsstörungen, Klinikum Fulda gAG, Pacelliallee 4, 36043, Fulda. k.schwager@klinikum-fulda.de
D004432:Ear, Middle / Q000601:surgery; D020220:Facial Nerve Injuries / Q000209:etiology* / Q000517:prevention & control*; D006314:Hearing Loss, Conductive / Q000209:etiology* / Q000517:prevention & control*; D006470:Hemorrhage / Q000209:etiology* / Q000517:prevention & control*; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D013201:Stapes Surgery / Q000009:adverse effects*