Are there different techniques in performing a stapedectomy?
No two surgeons perform the surgery exactly the same way. Virtually all stapedectomies are performed through the ear canal. Some surgeons use a vein from the arm or hand in place of the tissue from above the ear to close the opening created by removal of the stapes. There is a variety of prostheses that can be used, including a stainless steel piston, a wire, or others. Some surgeons remove part of the stapes bone, others essentially all of the stapes bone. Dr Holt’s method includes removal of most or all of the stapes bone, and placement of a Robinson prosthesis in most cases. This prosthesis has been used since the mid 1960’s. The results have been excellent. A good surgical outcome is not just a result of the technique used, but also the experience of the surgeon. Is the prosthesis designed to be permanent? The prosthesis is designed to be permanent. On occasion, there may be a problem with the healing process and the prosthesis may need to be revised. Is the surgery performed on an
