Stapedectomy following tympanoplasty

• Published in: Journal of laryngology and otology Vol. 115; no. 6; p. 444
• Main Authors: Berenholz, L P, Lippy, W H, Burkey, J M, Schuring, A G, Rizer, F M
• Format: Journal Article
• Language: English
• Published: England 01-06-2001
• Subjects: Adult; Audiometry, Pure-Tone; Female; Follow-Up Studies; Hearing Loss, Conductive - surgery; Humans; Male; Middle Aged; Otitis Media - surgery; Otosclerosis - surgery; Postoperative Period; Retrospective Studies; Stapes Surgery; Treatment Outcome; Tympanoplasty
• ISSN: 0022-2151
• DOI: 10.1258/0022215011908072

The aim of this study was to evaluate the success of stapedectomy in patients who have previously had a tympanoplasty because of chronic otitis media (COM). Fourteen patients from a private otology practice had undergone tympanoplasty for COM and subsequently underwent stapedectomy. Measurements were taken of the air-bone gap (ABG) closure and pure tone average (PTA) which showed hearing improvement. Patients had a mean 36.9 dB PTA hearing gain with 79 per cent closing the ABG to within 20 dB. The need for stapedectomy alone is a rare occurrence for patients with a history of COM requiring a tympanoplasty. Hearing improvement following stapedectomy in these cases was significant, although somewhat less than following traditional stapedectomy in otosclerosis alone.