III. Experiences with revision stapedectomy procedures

Feldman, Bruce; Schuknecht, Harold F.

doi:10.1288/00005537-197008000-00010

Cited by 50 publications

(31 citation statements)

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“…Adhesions in the middle ear fixing the ossicles and prosthesis have been reported in several series 1,4,5,9,19 . We encountered dense adhesions fixing the incus in two cases (2.7%) and immobilizing the prosthesis in four cases (5.4%).…”

Section: Discussionmentioning

confidence: 71%

“…In previously reported series, successful revision surgery was often defined as closure of the air‐bone gap to within 10 dB. This was achieved in 18% to 80% of the cases reported by various authors 1‐20 . The postoperative hearing was considered to be significantly improved when the air‐bone gap is closed to within 20 dB.…”

Section: Discussionmentioning

confidence: 99%

“…Sensorineural hearing loss due to inner ear trauma is more likely to occur during revision surgery. In experienced hands, successful results (postoperative air‐bone gap closure to within 10 dB) have been reported in 18% to 80% of cases, with a mean of approximately 50% in most series 1‐20 . In the same series, the postoperative sensorineural hearing loss (a drop in bone conduction threshold more than 10 dB) was found in the range of 0% to 20% of cases.…”

Section: Introductionmentioning

confidence: 90%

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Revision Stapedectomy: Intraoperative Findings, Results, and Review of the Literature

et al. 1997

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Seventy-four revision stapedectomies performed consecutively over 10 years (1986 to 1995) were reviewed retrospectively. The most common intraoperative findings were incus erosion, prosthesis displacement, and oval window closure. Incus erosion was more frequently associated with multiple revisions. The postoperative results were reported using the conventional method (postoperative air minus preoperative bone) as well as the guidelines recently published by the American Academy of Otolaryngology--Head and Neck Surgery (postoperative air minus postoperative bone), with success rates of postoperative air-bone gap closure to within 10 dB after revision surgery of 51.6% and 45.6%, respectively. Patients with persistent conductive hearing loss (large residual air-bone gaps) after primary stapedectomy had poorer postrevision hearing results. Sensorineural hearing loss (defined as a drop in bone pure-tone average of more than 10 dB) occurred in four cases (5.4%). The number of revision surgeries, variations in operative techniques using laser or drill, and the ossicle to which the prosthesis was attached did not statistically affect the postoperative air-bone gaps. These results were compared with previously published data.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

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Revision Stapedectomy: Intraoperative Findings, Results, and Review of the Literature

et al. 1997

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“…While the larger series (more than 150 cases) of revision stapedectomies in the literature date back to 1970, it has been suggested that the incidence of revision surgery will be greater because of the paucity of experienced stapes surgeons due to the lowered incidence of otosclerosis in the united States 3,4 . Preliminary data from the American Neurotological Society national meeting in 1997 revealed that recent graduating otolaryngology residents have performed an average of five stapedectomies during residency 5 .…”

Section: Introductionmentioning

confidence: 99%

A review of 308 cases of revision stapedectomy

1998

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“…Unfortunately, this has been shown to result in a high likelihood of further erosion of the incus (1,2). Another solution to an eroded incus that maintains the lever action of the ossicles, the modified Lippy prosthesis, was first described in 1974 (2).…”

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confidence: 99%