Abstract
The removal of the portion of the stapes footplate that comes easily is the most consistent and reliable technique for treatment of the stapes footplate in stapedectomy. The correct portion of the footplate can be removed without the use of expensive equipment or unusual maneuvers. This technique uses instruments and techniques that are commonly employed by otologists during routine ear surgery. A randomized comparison of stapedectomy technique in 225 patients found that there was successful closure of the air bone gap (to within 10 dB) whether a small fenestra, a third of the footplate, or all of the footplate was removed. The evolution of this technique over 35 years has led to a technique that is stable, reliable, and reproducible over time. Consistent closure of the air bone gap to within 10 dB is found in 96% of patients. Follow-up has demonstrated that this air bone gap closure is stable over at least 30 years. These results have led us to continue to remove the portion of the stapes footplate that comes easily, usually the posterior one-third, with excellent results in our series of 14,352 stapedectomies. The removal of the portion of the stapes footplate that comes easily is the most consistent and reliable technique for treatment of the stapes footplate in stapedectomy. The correct portion of the footplate can be removed without the use of expensive equipment or unusual maneuvers. This technique uses instruments and techniques that are commonly employed by otologists during routine ear surgery. A randomized comparison of stapedectomy technique in 225 patients found that there was successful closure of the air bone gap (to within 10 dB) whether a small fenestra, a third of the footplate, or all of the footplate was removed. The evolution of this technique over 35 years has led to a technique that is stable, reliable, and reproducible over time. Consistent closure of the air bone gap to within 10 dB is found in 96% of patients. Follow-up has demonstrated that this air bone gap closure is stable over at least 30 years. These results have led us to continue to remove the portion of the stapes footplate that comes easily, usually the posterior one-third, with excellent results in our series of 14,352 stapedectomies.
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