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A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery
Indexed/Abstracted in: EMBASE, Scopus
Otorinolaringologia 2004 June;54(2):125-30
A review of the management of otosclerosis
Berenholz L., Schuring A., Lippy W. H.
The Lippy Group for Ear, Nose and Throat, Warren, OH, USA
This paper is a review of our treatment of otosclerosis, based primarily on the experience of the senior author (WHL), over 42 years. The experience is based on the findings and results in 17 000 cases, including 2 000 revisions. We will review important aspects of history taking, physical exam and interpretation of audiologic results. The basic surgical approach is outlined with techniques refined over the last several decades. Surgery under local anesthesia facilitates patient cooperation and enables utilization of intraoperative audiometry. The stapedectomy surgeon must be able to handle variations encountered in the middle ear occasionally seen in otosclerosis. It is proper management of these variations that will increase the likelihood of successful surgery. Stapedectomy may be performed in the pediatric as well as elderly population with a high degree of success. Reviews of stapedectomy have been done in additional subgroups: pilots, far-advanced otosclerosis, chronic ear loss, incus erosion and revisions. The findings over the last several decades will be summarized in this review.