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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.
Indications for use of an ossicular replacement prosthesis include: [1] Chronic middle ear disease; Otosclerosis; Congenital fixation of the stapes; Secondary surgical intervention to correct for a significant and persistent conductive hearing loss from prior otologic surgery; Surgically correctable injury to the middle ear from trauma
A middle ear implant is a hearing device that is surgically implanted into the middle ear. They help people with conductive, sensorineural or mixed hearing loss to hear. [1] Middle ear implants work by improving the conduction of sound vibrations from the middle ear to the inner ear. There are two types of middle ear devices: active and passive.
This procedure is required if there is a damage to the bone chain of the middle ear. Commonly affected bone is the long process of incus, where it gets necrosed. The bone chain can be repaired using autograft of incus or cartilage. Prosthetic implants made of hydroxyapatite or teflon are also used.
A sound processor behind the ear. Bone-anchored hearing aids use a surgically implanted abutment to transmit sound by direct conduction through bone to the inner ear, bypassing the external auditory canal and middle ear. A titanium prosthesis is surgically embedded into the skull with a small abutment exposed outside the skin.
Using a 3-D printer, Tshifularo creates implants that replace the ossicles: the hammer (), anvil and stirrup during middle ear reconstructive surgery, or tympanoplasty, that are more affordable compared to the traditional titanium implants.
punching out holes in bones or other tissues •Henckle's punch forceps: punching out holes in bones or other tissues Eustachian (tube) catheter: on certain procedures of the eustachian tube or the middle ear like patency test; inflate middle ear and clear eustachian tube blockade; removal of foreign body of the nose; as a suction cannula. Mirrors
[1] [2] Otologic surgery generally refers to surgery of the middle ear and mastoid related to chronic otitis media, such as tympanoplasty (ear drum surgery), ossiculoplasty (surgery of the hearing bones) and mastoidectomy. Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis.