2022 Volume 32 Issue 1 Pages 67-74
In this study, we retrospectively investigated the effect of stapes surgery in cases of chronic otitis media with tympanosclerotic stapes fixation in two patients who underwent tympanoplasty at our hospital. No improvement in hearing was observed after tympanoplasty. One case was successful with the guidelines based on the result of this study. Opinions regarding the surgical treatment of tympanosclerosis with stapes fixation vary across studies. Reportedly, stapes mobilization, which removes sclerotic lesions around the stapes can improve hearing. In contrast, despite the risk of inner ear injury, stapes surgery is reported to result in excellent postoperative hearing improvement. However, one patient developed tympanic membrane retraction and dizziness after stapes surgery. Staged surgery is recommended in patients with a perforation or retraction of the tympanic membrane. A hearing aid is prescribed in patients without recovery of the tympanic cavity and tympanic membrane after staged surgery.
