Stapedotomy: Modifying the standard technique

Abstract

Since John Shea's initial description of stapedectomy in 1956, a variety of stapedotomy techniques have evolved. One of the techniques that this author developed in 1987 involved removal of the posterior crus with a laser followed by creation of the fenestra and placement of the prosthesis early in the operation. This technique minimized the possibility of a floating footplate and also facilitated the residents' learning of the stapedectomy procedure in a safe and graduated manner. Although this modified technique may not be useful in every stapedectomy procedure, it can be used in the majority of them. The modified stapedectomy technique described has become this author's standard approach to laser stapedotomy. Since John Shea's initial description of stapedectomy in 1956, a variety of stapedotomy techniques have evolved. One of the techniques that this author developed in 1987 involved removal of the posterior crus with a laser followed by creation of the fenestra and placement of the prosthesis early in the operation. This technique minimized the possibility of a floating footplate and also facilitated the residents' learning of the stapedectomy procedure in a safe and graduated manner. Although this modified technique may not be useful in every stapedectomy procedure, it can be used in the majority of them. The modified stapedectomy technique described has become this author's standard approach to laser stapedotomy.