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Stapedotomy using skeeter drill and self-retaining ear canal retractor: a single surgeon's 1000-plus surgical procedure experience

Published online by Cambridge University Press:  09 February 2022

N Vishnu Swaroop Reddy ,
M Sharma Open the ORCID record for M Sharma [Opens in a new window] ,
S Shekhar Open the ORCID record for S Shekhar [Opens in a new window] ,
Priyanka Sharma ,
Rushil Narapareddy  and
Punit Sharma
N Vishnu Swaroop Reddy
Affiliation:
Department of Otolaryngology, Head and Neck and Facial Plastic Surgery, Care hospitals, Hyderabad, India
M Sharma*
Affiliation:
Community Health Centre, Nakaha, India
S Shekhar
Affiliation:
ENT Department, Care Hospitals, Hyderabad, India
Priyanka Sharma
Affiliation:
Department of ENT, District Hospital, Lakhimpur Kheri, India
Rushil Narapareddy
Affiliation:
College of Health Solutions, Arizona State University, Phoenix, USA
Punit Sharma
Affiliation:
All India Institute of Medical Sciences, Patna, India
*
Author for correspondence: Dr Manoj Sharma, Department of ENT, Community Health Centre, Block Road, Nakaha, Lakhimpur Kheri, Uttar Pradesh262701, India E-mail: [email protected]
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Abstract

Objective

This study aimed to evaluate the long-term hearing outcomes in stapedotomy surgery using skeeter oto-drill and to assess safety in difficult situations.

Method

A retrospective study was conducted with 944 patients who underwent 1007 stapedotomy procedures over 16 years, performed by a single surgeon using a trans-canal approach and a self-retaining ear canal retractor. Hearing thresholds were calculated over four frequencies. Air–bone conduction hearing thresholds were obtained at 1, 5 and 10 years post-operatively and compared to the pre-operative records.

Results

Out of 1007 operated ears with one year follow up, 98.61 per cent of cases showed a negligible air–bone gap of equal to or less than 5 dB, 1.19 per cent of cases showed an air–bone gap equal to or more than 5 dB but less than 10 dB, and only 0.2 per cent of cases showed an air–bone gap of more than 10 dB.

Conclusion

In this study, using skeeter drill with a 0.6 mm diamond burr to make the fenestra was constant in all the cases and one of the safest techniques, showing persistent long-term hearing results.

Keywords

StapedotomyOtosclerosisOsteogenesis ImperfectaConductive Hearing Loss
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1081 - 1086
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Manoj Sharma takes responsibility for the integrity of the content of the paper

References

Chole, R, McKenna, M. Pathophysiology of otosclerosis. Otol Neurotol 2001;22:249–57CrossRefGoogle ScholarPubMed
McKenna, MJ, MS. Disorders of bone. In: Merchant, SS, Nadol, JB Jr, eds. Schuknecht's Pathology of the ear, 3rd edn. Shelton: People's Medical Publishing House, 2010; 716–37Google Scholar
Bergstrøm, L. Assessment and consequence of malformations of the middle ear. Birth Defects 1980;16:217–41Google ScholarPubMed
Briggs, RJ, Luxford, WM. Correction of conductive hearing loss in children. Otolaryngol Clin North Am 1994;27:607–20CrossRefGoogle ScholarPubMed
Stewart, JM, Downs, MP. Congenital conductive hearing loss: the need for early identification and intervention. Pediatrics 1993;91:355–9Google ScholarPubMed
Shea, JJ Jr. Fenestration of the oval window. Ann Otol Rhinol Laryngol 1958;67:932–51CrossRefGoogle ScholarPubMed
Shea, JJ. Symposium on the operation for mobilization of the stapes in otosclerotic deafness. Laryngoscope 1956;66:729–84Google Scholar
House, HP, Hansen, MR, Al Dakhail, AA, House, JW. Stapedectomy versus stapedotomy: comparison of results with long-term follow-up. Laryngoscope 2002;112:2046–50CrossRefGoogle ScholarPubMed
Cheng, HCS, Agrawal, SK, Parnes, LS. Stapedectomy versus stapedotomy. Otolaryngol Clin North Am 2018;51:375–92CrossRefGoogle ScholarPubMed
Aarnisalo, AA, Vasama, JP, Hopsu, E, Ramsay, H. Long-term hearing results after stapes surgery: a 20-year follow-up. Otol Neurotol 2003;24:567–71CrossRefGoogle ScholarPubMed
Cremers, CW, Beusen, JM, Huygen, PL. Hearing gain after stapedotomy, partial platinectomy, or total stapedectomy for otosclerosis. Ann Otol Rhinol Laryngol 1991;100:959–61CrossRefGoogle ScholarPubMed
Vincent, R, Sperling, NM, Oates, J, Jindal, M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol 2006;27:S25–47CrossRefGoogle ScholarPubMed
Uppal, S, Bajaj, Y, Rustom, I, Coatesworth, AP. Otosclerosis: the aetiopathogenesis of otosclerosis. Int J Clin Pract 2009;63:1526–30CrossRefGoogle ScholarPubMed
Kisilevsky, VE, Dutt, SN, Bailie, NA, Halik, JJ. Hearing results of 1145 stapedotomies evaluated with Amsterdam hearing evaluation plots. J Laryngol Otol 2009;123:730–6CrossRefGoogle ScholarPubMed
Massey, BL, Hillman, TA, Shelton, C. Stapedectomy in congenital stapes fixation: are hearing outcomes poorer? Otolaryngol Head Neck Surg 2006;134:816–8CrossRefGoogle ScholarPubMed
Dornhoffer, JL, Helms, J, Hoehmann, DH. Stapedectomy for congenital fixation of the stapes. Am J Otol 1995;16:382–6Google ScholarPubMed
Sillence, DO, Senn, A, Danks, DM. Genetic heterogeneity in osteogenesis imperfecta. J Med Genet 1979;16:101–16CrossRefGoogle ScholarPubMed
Mukherjee, D, Sadhu, A, Ghakraborty, PK, Saha, AM. Van Der Hoeve syndrome (osteogenesis imperfecta). Indian J Otolaryngol 1989;41:32–3CrossRefGoogle Scholar
Pedersen, U.. Hearing loss in patients with osteogenesis imperfecta a clinical and audiological study of 201 patients. Scand Audiol 1984;13:67–74CrossRefGoogle ScholarPubMed
Stewart, EJ, O'Reilly, BF. A clinical and audiological investigation of osteogenesis imperfecta. Clin Otolaryngol Allied Sci 1989;14:509–14CrossRefGoogle ScholarPubMed
Kuurila, K, Kaitila, I, Johansson, R, Grénman, R. Hearing loss in Finnish adults with osteogenesis imperfecta: a nationwide survey. Ann Otol Rhinol Laryngol 2002;111:939–46CrossRefGoogle ScholarPubMed
Pillion, JP, Vernick, D, Shapiro, J. Hearing loss in osteogenesis imperfecta: characteristics and treatment considerations. Genet Res Int 2011;1:983–42Google Scholar
Marchese, MR, Paludetti, G, De Corso, E, Cianfrone, F. Role of stapes surgery in improving hearing loss caused by otosclerosis. J Laryngol Otol 2007;121:438–43CrossRefGoogle ScholarPubMed
Sparano, A, Leonetti, JP, Marzo, S, Kim, H. Effects of stapedectomy on tinnitus in patients with otosclerosis. Int Tinnitus J 2004;10:73–7Google ScholarPubMed
Ayache, D, Earally, F, Elbaz, P. Characteristics and postoperative course of tinnitus in otosclerosis. Otol Neurotol 2003;24:48–51CrossRefGoogle ScholarPubMed
Kylén, P, Stjernvall, JE, Arlinger, S. Variables affecting the drill-generated noise levels in ear surgery. Acta Otolaryngol 1977;84:252–9CrossRefGoogle ScholarPubMed
Michaelides, EM, Kartush, JM. Implications of sound levels generated by otologic devices. Otolaryngol Head Neck Surg 2001;125:361–3CrossRefGoogle ScholarPubMed
Alzhrani, F, Mokhatrish, MM, Al-Momani, MO, Alshehri, H, Hagr, A, Garadat, SN. Effectiveness of stapedotomy in improving hearing sensitivity for 53 otosclerotic patients: retrospective review. Ann Saudi Med 2017;37:49–55CrossRefGoogle ScholarPubMed
Bauchet, St, Martin, M, Rubinstein, EN, Hirsch, BE. High-frequency sensorineural hearing loss after stapedectomy. Otol Neurotol 2008;29:447–52CrossRefGoogle Scholar
Strömbäck, K, Köbler, S, Rask-Andersen, . High-frequency hearing following stapes surgery. Acta Otolaryngol 2012;132:944–50CrossRefGoogle ScholarPubMed
Shah, V, Ganapathy, H. Factors Affecting the Outcome of Stapes Surgery. Indian J Otolaryngol Head Neck Surg 2017;70:256–61CrossRefGoogle ScholarPubMed
De Souza, C, Glasscock, ME III. Otosclerosis and Stapedectomy. New York: Thieme Medical Publishers, 2004;1–2Google Scholar