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What is stapedotomy?

Stapedotomy is a modified stapes operation.

Stapes is the smallest bone in human body. Stapes bone is present in the middle ear and is responsible for the transmission of sound waves.

Stapedotomy is thought by many otology surgeons to be safer and reduce the chances of postoperative complications.

What is the Procedure for Stapedotomy?

  • In stapedotomy, a tiny hole is drilled in the stapes footplate.
  • The hole is drilled in the stapes footplate either using a micro drill or with a laser, and a prosthesis is then fixed to touch this area (oval window).
  • Hence stapedotomy is also referred to as "Touch surgery." This procedure is improved by using a tissue graft seal.
  • In short, in Stapedotomy operation, a part of the stapes bone is removed and replaced with an artificial piston.

Difference between Stapedotomy and Stapedectomy:

  • In stapedotomy a small opening/hole is drilled within the stapes bone (accomplished via laser or manually with a drill). Whereas Total or subtotal removal of the stapes footplate (usually performed manually) is referred to as "stapedectomy."
  • Stapedotomy is preferred over stapedectomy.
  • Because Stapedotomy simple and safer and has lesser complications compared to stapedectomy.

What are the Conditions in which Stapedotomy is Indicated?

Otosclerosis: In Otosclerosis, conductive hearing loss occurs due to fixing of the stapes bone. Stapedotomy helps in the reversal of the conductive hearing loss.

What to Expect after Stapedotomy?

  • In the first 24 hours following stapedotomy surgery, you should be very still or perform little movements.
  • Try to avoid sudden movements when you turn your head, roll over, or get up.
  • Your hearing will fade during the first few weeks after your surgery because of the blood clot that forms in your ear canal. As the clot shrinks, your hearing will gradually improve.
  • Do not lie on your operated ear.
  • Do not blow your nose vigorously.
  • Keep your mouth open while coughing and sneezing to reduce pressure on the ear.
  • The doctor prescribes you with ear drops, and the doctor will instruct you on how often you should use those ear drops.
  • Following surgery, you may have some drainage (bloody in color) from your operated ear. Drainage should stop after approximately three days.
  • If drainage persists even after three days following surgery, call your ENT doctor.
  • After surgery, you may develop a metallic taste. It will probably return to normal but may take a few months to do so completely.
  • Absolutely cannot get water in the ear. No showering until a postoperative checkup.
  • In order to avoid water in the ears: apply Vaseline jelly on a cotton ball and place Vaseline side in the ear (this creates a water barrier)
  • Avoid lifting weights over 5 lbs for at least two weeks.
  • Visit the ENT clinic one week after surgery for a postoperative checkup.

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  • Dr. Neetu really cares for her patients & this clearly shows. My experience with her has been very good. She is very patient, clearly explains the treatment & answers any queries regarding it. Thank you for the services.

    S. Kiran

  • Dr Neetu Modgil was excellent. Thorough, kind and patient, she did an excellent job. I will be requesting her services for my next appointment.

    Chandu Reddy

  • She is a blessing to this profession . So humble and approachable. she operated my ear , when every doctor i visited said no to me saying the risk of surgery is more . But she not only took risk...

    Ipshita Purohit

  • In my life i have met number of great doctor , but the way she talks , listens and convince the patient that is very rare and incredible , Very much experience ,humble doctor , highly recommended for any ENT...

    Rahul Yadav

  • It was good experience with doctor Neethu the way she treated me, felt like she treated me like her kid, Listens to our problems patiently,Her analysis and diagnosis was good.Clinic's ambience was quite good as well. I'd recommend her.

    Vijay Panwar

  • Visited for Ear wax. Explained well to me. removed my ear wax very well. Dr. is Very friendly with me.

    Aman Singh Mehta

  • She listen to my problem very attentively and prescribed medicine to take care of my problem. Besides being a good doctor she’s a wonderful human being too.

    Neha Nagar

  • I went for throat infection and clicking sound. She was very patient to hear my issue. Then did her examination and explained me the issue. She don't writes unnecessary tests and give minimum and required medication. I wish to have...

    Vinit Pandey

  • she is a friendly doctor and explained the disease very well. She had helped me out in my difficult times. Am very thankful yo her. Would like to recommend her to others.

    Ms. Atreyee Pal

  • I am obliged for everything doctor has done for me from day one. I am absolutely fine three months post surgery. I had many doubts before surgery but now as I m going well , I am happy and content.

    Anshika