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Results for “Stapes Mobilization”

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At least 307 records · Page 17Linked to original sources
PubMed1985

Microsurgery of the middle ear.

Microsurgery of the middle ear has evolved over the past three decades through the art of the technically possible to the art of the clinically advisable. Stapedectomy has been refined to achieve an acceptably high level of success. Tympanoplasty in its simpler forms (myringoplasty +/- incus transposition) is very successful in the restoration of a dry hearing ear. Reconstruction in the absence of a mobile stapes remains an unresolved problem. The safe avoidance of an open cavity in cholesteatomatous disease continues to be an elusive goal.

Biocompatible Materials↗
PubMed1985

Revision stapes surgery: problems with some solutions.

A review of 217 consecutive revision stapes operations performed during a ten-year period revealed that the surgeon encounters more pathological variables than he does during primary operations. Hence, the technical solutions are less stereotyped and the net results less predictable. Prosthesis displacement, with or without incus tip erosion, was the most common primary cause of failure (82%). However, oval window problems such as footplate refixation, perilymph fistula, otosclerotic regrowth, and lateralized oval window membrane in 60% of cases often complicated prosthesis displacement. First revision operations in 174 cases resulted in postoperative bone-air deficit of 10 dB or less in 65% of cases, much better than the 45% for second revision results, and the 25% for third revisions. These statistics provide our practice with a realistic prognosis when discussing revision stapes surgery with the individual surgical candidate.

Bone Conduction↗
PubMed1985

Results of middle ear reconstruction: do patients and surgeons agree?

The usual methods of measuring the therapeutic effects of middle ear reconstruction in tympanoplasty and stapedectomy take into account only changes occurring in the operated ear. These do not necessarily reflect the final state of the patient's auditory capacity, because normal speech perception is a bilateral function. Minor temporary interaural differences due, for example, to ear canal occlusion by cerumen can cause considerable distress. To determine what might be the final audiometric situations that would be worthwhile for patients having unilateral operations aimed only at improving auditory status, 203 patients' personal assessments of their final hearing ability were correlated with the audiometric data from both ears. The results indicated that the most relevant factor in predicting assessment was the postoperative hearing level.

Adolescent↗