eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Middle Ear & Mastoid

Middle Ear, Otosclerosis: Multimedia

Author: Jack A Shohet, MD, Associate Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, University of California-Irvine; Otolaryngologist, Shohet Ear Associates Medical Group, Inc
Contributor Information and Disclosures

Updated: Nov 7, 2008

Multimedia

A tympanomeatal flap is incised along the posteri...Media file 1: A tympanomeatal flap is incised along the posterior external auditory canal.
A tympanomeatal flap is incised along the posteri...

A tympanomeatal flap is incised along the posterior external auditory canal.

The fibrous tympanic annulus is elevated with the...Media file 2: The fibrous tympanic annulus is elevated with the tympanomeatal flap to expose the middle ear.
The fibrous tympanic annulus is elevated with the...

The fibrous tympanic annulus is elevated with the tympanomeatal flap to expose the middle ear.

Scutal bone is curetted to allow visualization of...Media file 3: Scutal bone is curetted to allow visualization of the pyramidal process, tympanic segment of the facial nerve, and the stapedial footplate.
Scutal bone is curetted to allow visualization of...

Scutal bone is curetted to allow visualization of the pyramidal process, tympanic segment of the facial nerve, and the stapedial footplate.

The incudostapedial joint is disarticulated after...Media file 4: The incudostapedial joint is disarticulated after measurements have been made.
The incudostapedial joint is disarticulated after...

The incudostapedial joint is disarticulated after measurements have been made.

The stapedial tendon is sectioned either with a l...Media file 5: The stapedial tendon is sectioned either with a laser or scissors and then the posterior crus of the stapes is sectioned either with a drill as shown or a laser.
The stapedial tendon is sectioned either with a l...

The stapedial tendon is sectioned either with a laser or scissors and then the posterior crus of the stapes is sectioned either with a drill as shown or a laser.

The stapes superstructure has been down-fractured...Media file 6: The stapes superstructure has been down-fractured and removed. The footplate remains and may now be removed completely as in a total stapedectomy or a stapedotomy hole may be made with a laser or microdrill.
The stapes superstructure has been down-fractured...

The stapes superstructure has been down-fractured and removed. The footplate remains and may now be removed completely as in a total stapedectomy or a stapedotomy hole may be made with a laser or microdrill.

A stapedotomy has been performed. A prosthesis m...Media file 7: A stapedotomy has been performed. A prosthesis may now be placed.
A stapedotomy has been performed. A prosthesis m...

A stapedotomy has been performed. A prosthesis may now be placed.

A piece of tissue (fascia, perichondrium, or vein...Media file 8: A piece of tissue (fascia, perichondrium, or vein) is placed over the stapedectomy/stapedotomy.
A piece of tissue (fascia, perichondrium, or vein...

A piece of tissue (fascia, perichondrium, or vein) is placed over the stapedectomy/stapedotomy.

A Robinson bucket handle prosthesis is placed ove...Media file 9: A Robinson bucket handle prosthesis is placed over the stapedotomy and looped over the incus.
A Robinson bucket handle prosthesis is placed ove...

A Robinson bucket handle prosthesis is placed over the stapedotomy and looped over the incus.

A stapedotomy procedure with a bucket handle pros...Media file 10: A stapedotomy procedure with a bucket handle prosthesis positioned over the footplate.
A stapedotomy procedure with a bucket handle pros...

A stapedotomy procedure with a bucket handle prosthesis positioned over the footplate.

More on Middle Ear, Otosclerosis

Overview: Middle Ear, Otosclerosis
Workup: Middle Ear, Otosclerosis
Treatment: Middle Ear, Otosclerosis
Follow-up: Middle Ear, Otosclerosis
Multimedia: Middle Ear, Otosclerosis
References

References

  1. Toynbee J. Pathological and surgical observations of the diseases of the ear. Trans Med Chir Soc Lond. 1841;24:190-196.

  2. Jack FL. Remarkable improvement of hearing by removal of the stapes. Trans Am Otol Soc. 1893;284:474-89.

  3. Holmgren J. The surgery of otosclerosis. Ann Otol Rhinol Laryngol. 1937;46:3-12.

  4. Sourdille M. New technique in the surgical treatment of severe and progressive deafness from otosclerosis. Bull NY Acad Med. 1937;13:673.

  5. Lempert J. Improvement in hearing in cases of otosclerosis: A new, one-stage surgical technic. Arch Otolaryngol. 1938;28:42-97.

  6. Rosen S. Restoration of hearing in otosclerosis by mobilization of the fixed stapedial footplate; an analysis of results. Laryngoscope. Apr 1955;65(4):224-69. [Medline].

  7. Shea JJ Jr. A personal history of stapedectomy. Am J Otol. Sep 1998;19(5 Suppl):S2-12. [Medline].

  8. McCabe BF. Otosclerosis and vertigo. Proc Trans Pacific Oto-Ophth Soc. 1966;47:37.

  9. Canalis RF. Valsalva's contribution to otology. Am J Otolaryngol. Nov-Dec 1990;11(6):420-7. [Medline].

  10. Frattali MA, Sataloff RT. Far-advanced otosclerosis. Ann Otol Rhinol Laryngol. Jun 1993;102(6):433-7. [Medline].

  11. Ghorayeb BY, Linthicum FH Jr. Otosclerotic inner ear syndrome. Ann Otol Rhinol Laryngol. Jan-Feb 1978;87(1 Pt 1):85-90. [Medline].

  12. Gordon MA, Silverstein H, Willcox TO, et al. A reevaluation of the 512-Hz Rinne tuning fork test as a patient selection criterion for laser stapedotomy. Am J Otol. Nov 1998;19(6):712-7. [Medline].

  13. Karosi T, Konya J, Petko M, et al. Histologic otosclerosis is associated with the presence of measles virus in the stapes footplate. Otol Neurotol. Nov 2005;26(6):1128-33. [Medline].

  14. Lesinski SG. Causes of conductive hearing loss after stapedectomy or stapedotomy: a prospective study of 279 consecutive surgical revisions. Otol Neurotol. May 2002;23(3):281-8. [Medline].

  15. Poe DS. Laser-assisted endoscopic stapedectomy: a prospective study. Laryngoscope. May 2000;110(5 Pt 2 Suppl 95):1-37. [Medline].

  16. Pulec JL. The cause of otosclerosis. Ear Nose Throat J. Dec 1998;77(12):941. [Medline].

  17. Silverstein H. Laser stapedotomy minus prosthesis (laser STAMP): a minimally invasive procedure. Am J Otol. May 1998;19(3):277-82. [Medline].

  18. Silverstein H, Hester TO, Rosenberg SI, et al. Preservation of the stapedius tendon in laser stapes surgery. Laryngoscope. Oct 1998;108(10):1453-8. [Medline].

Further Reading

Keywords

otosclerosis, middle ear, otosclerosis of the middle ear, otospongiosis, total stapedectomy, partial stapedectomy, stapedotomy, otosclerosis, stapes, ankylosis, ear problems, hearing problems, plugged ear, blocked ear, clogged ear, deafness, hearing loss, progressive hearing loss, conductive hearing loss, progressive conductive hearing loss

Contributor Information and Disclosures

Author

Jack A Shohet, MD, Associate Clinical Professor, Department of Otolaryngology-Head and Neck Surgery, University of California-Irvine; Otolaryngologist, Shohet Ear Associates Medical Group, Inc
Jack A Shohet, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, American Neurotology Society, American Tinnitus Association, and California Medical Association
Disclosure: Envoy Medical Consulting fee Consulting

Medical Editor

Cliff A Megerian, MD, FACS, Medical Director of Adult and Pediatric Cochlear Implant Program, Vice-Chairman and Director of Otology and Neurotology, University Hospitals of Cleveland; Professor, Department of Otolaryngology-Head and Neck Surgery and Neurological Surgery, Case Western Reserve University School of Medicine
Cliff A Megerian, MD, FACS is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Neurotology Society, American Otological Society, Association for Research in Otolaryngology, Massachusetts Medical Society, Society for Neuroscience, Society of University Otolaryngologists-Head and Neck Surgeons, and Triological Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Gerard J Gianoli, MD, Clinical Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Tulane University School of Medicine; Vice President, The Ear and Balance Institute; Chief Executive Officer, Ponchartrain Surgery Center
Gerard J Gianoli, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Neurotology Society, American Otological Society, Society of University Otolaryngologists-Head and Neck Surgeons, and Triological Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

 
 
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