Stapedectomy step by step

Procedure detailed by Dr. Luis García-Ibáñez

Stapedectomy, a standardized hearing surgery, is presented as a precise solution to restore hearing in patients affected by otosclerosis. Through a meticulous procedure, the Dr. Luis García-Ibáñez presents us in the SurgSchool App a case that guides each step, offering a clear vision of the process.

1. Starting the Action:
   1. Strategic incision in the external auditory canal.
   2. Creation of a tympanic meatal flap to access the surgical area.
2. Access to the Oval Fossa:
   1. Disconnection of the tympanic annulus and cleaning of the tympanic membrane.
   2. Creation of a control space for the oval fossa through tichotomy.
3. Defying Delicacy:
   1. Incudo-stapedial disarticulation to obtain the fossa ovale with the platen.
   2. Removal of mucosa and application of collagen sponge for hemostasis.
4. Interposition of the Perichondrium:
   1. Use of the triangular perichondrium for total stapedectomy.
   2. Adaptation of the perichondrium and placement of the polyethylene prosthesis.
5. Successful Closing:
   1. Platen decompression and posterior hemiplatenectomy.
   2. Placement of the perichondrium to seal the window and stabilize labyrinthine fluids.

This procedure, performed under local anesthesia, provides immediate hearing gain. The video presented in the SurgSchool App details each step, offering an in-depth understanding of stapedectomy and its positive impact on patients' quality of life.

If you are an otolaryngologist interested in honing your surgical skills, download the SurgSchool mobile app. Discover more clinical cases, learn from experts like Dr. García-Ibáñez and stay updated with the latest techniques in otological surgery. Beam click here to download the app now!