OBJECTIVE: To compare presentation, operative findings, and outcomes among pediatric patients undergoing primary stapedectomy for congenital stapes footplate fixation (CSFF) and juvenile otosclerosis (JO). STUDY DESIGN: Retrospective review. [ncbi.nlm.nih.gov]

• Weakness

  Weak muscles also make it difficult to maintain good neck posture, another factor involved in swallowing. ¨ Hoarseness/Weak Voice The vocal folds are composed of layers of tissues, easily bruised and strained due to tissue fragility and weakness. [web.archive.org]

  Weakness of the Face: A very rare complication of stapedectomy is temporary weakness of the face. This may occur as the result of an abnormality or swelling of the facial nerve. [ghs.org]

  Post-operative complications included grade IV facial weakness and late Pseudomonas aeruginosa meningitis, which all resolved. To the authors' knowledge, this paper reports the only case of post-stapedectomy granuloma tracking to the brainstem. [ncbi.nlm.nih.gov]

  Weakness of the Face A very rare complication of stapedectomy is temporary weakness of the face. This may occur as the result of an abnormality or swelling of the facial nerve. [michiganear.com]

• Falling

  If the prosthesis is attached to loose, it may fall off. If it is attached and the incus sustains too much trauma, the incus may die and the prosthesis will fall off. [entusa.com]

  However, most of the published results of success fall within the speech frequency of 500 Hz, 1000 Hz and 2000 Hz; poorer results are typically obtained in the high frequencies, but these are normally less hampered by otosclerosis in the first place. [en.wikipedia.org]

  After almost 20yrs, I can say with authority that I fall into the latter category. There was no mention of tinitus pre surgery. I went into the surgery with great expectations and left with tinitus. [tinnitustalk.com]

  If the pack falls out within the first 10 days after the operation it is important that you get in contact, either via the ward or the appropriate secretary, as it may need replacing. [nicksaundersent.com]

  During laser or mechanical stapedotomy, bone fragments may become mobile and fall into the vestibule, which may increase the chances of postoperative vertigo. [emedicine.medscape.com]

• Inflammation

  The source of the obstruction can be any number of things: earwax, fluid, inflammation, a cyst or other abnormal growth, or something accidentally lodged in the ear. Not unexpectedly, this happens more often in infants than in adults. [askdoctork.com]

  Learn More About Topic Swimmer's Ear Swimmer’s ear (also called acute otitis externa) is a painful condition that affects the outer ear and ear canal that is caused by infection, inflammation, or irritation. [entnet.org]

  Gli autori sottolineano l’importanza dell’ indagine radiologica ai fini di una corretta strategia terapeutica in caso di interven- to di stapedectomia nell’orecchio controlaterale.Introduction recurrent meningeal inflammations. [fliphtml5.com]

• Hematochezia

  Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia Bridging the Gap Challenge Yourself [nejm.org]

• Dysgeusia

  Dysgeusia Transient dysgeusia is common (61.9%) after stapes surgery, however, the majority of these patients (95.8%) will recover within one year.24 Taste disturbances can result from injury to the chorda tympani. [emedicine.medscape.com]

• Otalgia

  Otalgia was present in all our cases, and may be deemed a red flag symptom of progressive bony destruction and otic capsule involvement. [ncbi.nlm.nih.gov]

• Withdrawn

  Mom became increasingly withdrawn. She never wanted to go out on dinner dates or socialize with friends. Only in recent years, after her passing, have I come to understand this preference for isolation. [hearinghealthfoundation.org]

• Dizziness

  Dizziness: Some unsteadiness is common during the first few postoperative days. Dizziness with sudden head motion may persist for several weeks. On rare occasions dizziness is prolonged. [ghs.org]

  Some people with otosclerosis also experience ringing in the ear and dizziness. [mountsinai.org]

  Ten patients with far advanced otosclerosis or dizziness were then excluded. Closure of air-bone gap to within 10 dB was achieved in 67.6% of patients. Pure tone average (PTA, 500-4,000 Hz) improvement in hearing was 22.5 dB. [ncbi.nlm.nih.gov]

  Complications Nausea and dizziness: this is common and expected after surgery and is usually mild and short lived. Many medications are given to prevent these and only a few patients feel dizzy beyond the day of surgery. [earassociates.com]

  Although some patients feel slight unsteadiness, call our office if you have severe dizziness, ringing or other problems. [dupagemedicalgroup.com]

• Vertigo

  Although all the patients were treated with corticosteroids, the vertigo resolved within 12 to 24 hours only in those whose vertigo we had ascribed to polyneuritis. [ncbi.nlm.nih.gov]

• Meningism

  Meningitis following stapedectomy occurring in the immediate postoperative period has not been previously described. [ncbi.nlm.nih.gov]

  Meningitis following stapedectomy. Laryngoscope 78, 56–63, 1968. PubMed CrossRef Google Scholar 11. CAUSSE J., CAUSSE J.B. Eighteen years report on stapedectomy. Problems of stapedial fixation. Clin. Otol 5, 49, 1980. CrossRef Google Scholar 12. [link.springer.com]

  Rarely, facial paralysis and meningitis (a brain infection) can occur. [entusa.com]

  […] commonly implicated substances implanted within the middle ear causing their development. [12] Serous or suppurative labyrinthitis Another uncommon complication is suppurative labyrinthitis or other surgical site infection such as acute otitis media or meningitis [emedicine.medscape.com]

A trend toward greater use of hearing aids for the treatment of otosclerosis was seen in more recent graduates (P < .08). [ncbi.nlm.nih.gov]

The site aims to answer some of the questions you may have about otosclerosis and outline the treatment options. [stapedectomy.co.uk]

Are Hearing Aids a Good Treatment Option? One of the most common questions people have when discussing treatment of otosclerosis is the use of hearing aids. [joshualightmd.com]

Hearing aids are generally the first line treatment in mild to moderate cases. It would be unusual to proceed to surgical treatment without first trying a hearing aid. [varleyent.com.au]

The incidence, management and prognosis of such injuries are discussed. [ncbi.nlm.nih.gov]

Pathology 6 Clinical Picture 7 Differential Diagnosis 7 Investigations 7 Treatment 8 CHAPTER 3 Stapedectomy 9 Historical View 9 Indications and Patient Selection 10 Contraindications 11 The Technique 11 Anatomical Variation 14 Post- operative care 15 Prognosis [scribd.com]

Types of stapedectomy failure and prognosis of revision operations. J. Laryngology & Otology 88 (3) 213–226, 1974. Google Scholar 2. SMYTH G.D., HASSARD T.H. Eighteen years experience in stapedectomy. T.e case for the small fenestra operation. Ann. [link.springer.com]

The etiology of poststapedectomy cholesteatoma in this patient was probably chronic eustachian tube dysfunction and negative middle ear pressures. [ncbi.nlm.nih.gov]

Sherif Magdi Sanad OTOSCLEROSIS AND STAPEDECTOMY The E x pect ed C omplic ations © 2006 Sherif Magdi Sanad T able o f C ont ent s CHAPTER 1 Anatom y of the Ear 1 The External Ear 1 The Middle Ear 2 The Inner Eat 3 CHAPTER 2 Otosclerosis 5 Incidence 5 Etiology [scribd.com]

An overview of the etiology of otosclerosis. [pubmed.ncbi.nlm.nih.gov]

RECENT FINDINGS: The epidemiology of clinical otosclerosis appears be changing. The average age for patients undergoing primary stapes surgery is increasing, and the percentage of revision stapedectomies is increasing. [ncbi.nlm.nih.gov]

Because the fenestra is located in the posterior part of the stapes footplate, the pathophysiology appears to be related to utricular rather than saccular trauma. [ncbi.nlm.nih.gov]

The anti-herpesvirus agent acyclovir may prevent delayed facial palsy after stapedectomy in patients suspected of having this complication. [ncbi.nlm.nih.gov]

The bucket handle of the prosthesis is rotated over the incus to prevent the prosthesis from slipping. [ghorayeb.com]

Swimming may be limited during the first few weeks to prevent getting water into the ear. Home care will also be required to prevent putting too much pressure on the healing stapes. [winchesterhospital.org]

This abnormal bone growth prevents the stapes from vibrating properly, causing a decrease in hearing, sometimes in both ears. If left untreated, the hearing loss slowly worsens over time. [mountsinai.org]

We will provide you with antibiotics to help prevent infection. Your ear will feel especially sensitive immediately following your procedure. [cosmeticsurgerywv.com]