Treatment of moderate-to-severe otosclerosis with simultaneous piston surgery and incus vibroplasty.

Abstract

Objective:Whereas the nature of otosclerosis has been extensively investigated, treatment modalities in advanced otosclerosis with the sensorineural hearing loss (SNHL) are relatively unexplored.Materials and Methods:This article presents a retrospective case series study of nine patients who received a one-stage piston coupled with Vibrant Soundbridge® vibroplasty in treating otosclerosis with moderate-to-severe SNHL.Results:The findings suggest that hearing loss could be restored across frequencies and no significant change in the bone-conduction threshold were measured.Conclusion:One-stage piston surgery coupled with incus vibroplasty is a safe procedure and has sufficient efficacy to restore hearing loss in patients with otosclerosis with moderate-to-severe SNHL.