Why is stapedectomy done?

Stapedectomy is a surgical procedure performed to treat a specific type of hearing loss known as otosclerosis. Otosclerosis is a condition in which the stapes, the smallest bone in the middle ear, becomes fixed and cannot vibrate properly. This impairs the transmission of sound waves to the inner ear and results in hearing loss.

Stapedectomy aims to restore hearing by replacing the diseased stapes with a prosthetic implant. The procedure involves removing the stapes bone and replacing it with a tiny artificial piston or prosthesis, usually made of materials like Teflon, stainless steel, or ceramic. The prosthesis helps to transmit sound vibrations from the middle ear to the inner ear, bypassing the fixed stapes and improving hearing.

Stapedectomy is considered when other non-surgical treatments, such as hearing aids, have failed to provide adequate hearing improvement. It is generally recommended for individuals with significant conductive hearing loss due to otosclerosis who are not good candidates for hearing aid use or prefer a surgical solution.

The procedure is typically performed under local anesthesia and can be done on an outpatient basis, meaning the patient can go home the same day. Stapedectomy has a high success rate and is considered a safe and effective treatment for otosclerosis-related hearing loss.