Stapedectomy Versus Stapedotomy

Otolaryngol Clin North Am. 2018 Apr;51(2):375-392. doi: 10.1016/j.otc.2017.11.008. Epub 2018 Feb 3.


Stapedectomy and stapedotomy represent the state-of-the-art surgical procedures in addressing the conductive hearing loss caused by otosclerosis. Their high rates of success and long-term stability have been demonstrated repeatedly in many studies. In comparing the short- and long-term results of the 2 procedures, it is evident that stapedotomy confers better hearing gain at high frequencies and lower complication rates. Modified stapes mobilization procedures may represent the next major development in stapes surgery in a selected patient population.

Keywords: Otosclerosis; Stapedectomy; Stapedotomy; Stapes surgery.

Publication types

  • Review

MeSH terms

  • Audiometry, Pure-Tone
  • Auditory Threshold / physiology
  • Bone Conduction / physiology
  • Fenestration, Labyrinth / methods*
  • Hearing Loss, Conductive / etiology
  • Hearing Loss, Conductive / surgery*
  • Humans
  • Ossicular Prosthesis*
  • Otosclerosis / surgery*
  • Postoperative Complications / physiopathology
  • Postoperative Complications / surgery
  • Prosthesis Design
  • Stapes Surgery / methods*