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Stapedectomy is a surgical procedure in which the stapes bone is removed from the middle ear and replaced with a prosthesis. If the stapes footplate is fixed in position, rather than being normally mobile, the result is a conductive hearing loss. There are two major causes of stapes fixation.
Magnetic resonance imaging (MRI) is a medical imaging technique used in radiology to generate pictures of the anatomy and the physiological processes inside the body. MRI scanners use strong magnetic fields, magnetic field gradients, and radio waves to form images of the organs in the body.
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Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis. Neurotology (a related field of medicine and subspecialty of otolaryngology ) is the study of diseases of the inner ear, which can lead to hearing and balance disorders.
The tympanic membrane is repaired and directly connected to the head of the stapes. Type 4 describes a repair when the stapes foot plate is movable, but the crura are missing. The resulting middle ear will only consist of the Eustachian tube and hypotympanum. Type 5 is a repair involving a fixed stapes footplate. Also called fenestration operation.
Interventional MRI can be used for a variety of specialized procedures. iMRI systems are often used for doing biopsies of lesions, resections of tumors, guiding thermal ablation of tissue, as well as other procedures. It is commonly used in neurosurgery, where every millimeter of tissue spared in surgery can make a difference for patient recovery.
Intraoperative magnetic resonance imaging (iMRI) is an operating room configuration that enables surgeons to image the patient via an MRI scanner while the patient is undergoing surgery, particularly brain surgery. iMRI reduces the risk of damaging critical parts of the brain and helps confirm that the surgery was successful or if additional resection is needed before the patient's head is ...
The success rate of either surgery depends greatly on the skill and the familiarity with the procedure of the surgeon. [17] However, comparisons have shown stapedotomy to yield results at least as good as stapedectomy, with fewer complications, and thus stapedotomy is preferred in normal circumstances. [30]