Laser Stapedotomy for Otosclerosis

Otosclerosis can lead to progressive conductive hearing loss, significantly affecting the quality of life. For patients who choose surgery, the tympanic membrane is elevated and middle ear space is explored. If the surgeon confirms that the stapes is fixed in the oval window, either a stapedotomy or stapedectomy can be performed. In the stapedotomy, the surgeon removes the stapes superstructure, creates a fenestration in the footplate, and places a prosthesis from the incus through the fenestration into the vestibule. In this instance, the patient was able to regain nearly all of the hearing that had been lost as a result of stapes fixation.