Small fenestra stapedotomy.

Hidayatulah Khan; Javed Iqbal Shah; Saeedullah; Mohibullah Khan; Khalil Asad

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Small fenestra stapedotomy.

Author(s)

Hidayatulah Khan Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan

Javed Iqbal Shah Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan

Saeedullah Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan

Mohibullah Khan Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan

Khalil Asad Department of ENT, Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar, Pakistan

Abstract

To study the result of small fenestra Stapedotomy for Otosclesrosis and the effect on maximum gain in hearing, using Schuknecht type of Teflon piston and steel wire prosthesis of size 0.6mm X4.5mm. A prospective study on twenty cases of otosclerosis was conducted in a period of one year in the department of ENT Head and Neck Surgery, Postgraduate Medical Institute, Lady Reading Hospital, Hayatabad Medical Complex, Peshawar. All the cases were diagnosed on the basis of clinical, audiological and tympanometric examination. Confirmation of diagnosis made on tympanometry. Small fensestra stapedotomy and insertion of Schuknecht type Teflon piston and steel wire prosthesis done in all the cases. Sixty percent of those patients regain normal hearing both subjectively and objectively with wire bone gape closure of 10dB. In 20% cases hearing improved to an acceptable level with air bone gape closure of 20dB. Two patients with (10%) did not improve at all while 2 cases (10%) developed sensorineural hearing loss. One of the patient developed stapes surgery induced granuloma with facial weakness. Otosclerosis is one of the few otological ailments which can be effectively managed and rehabilitated by surgery. If cases and prostheses are properly selected and facilities for this delicate surgery are available the result of stapes surgery are acknowledged.

Publication Details

Page(s) 176-181

DOI DOI not available

Published Journal: Journal of Postgraduate Medical Institute, Volume: 18, Issue: 2, Year: 2004

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