Stapedectomy: Observations on 100 cases using an adipose tissue graft and steel-pin prosthesis

Abstract

Experiences and conclusions drawn from a series of 100 consecutive stapedectomy operations utilizing an adipose tissue graft and steel-pin prosthesis are described. Eighty-eight operations resulted in hearing within 10 db of the patient's pre-operative bone-conduction threshold. Three patients had worse hearing after operation. The period of observation was between one and three years. Post-operative difficulties and complications were minimal. The method of reconstruction was found suitable throughout the wide variety of situations met in the series and reasons are submitted for having developed a personal preference for this technique. Results of stapedectomy are nevertheless probably independent of the exact method of reconstruction favoured by individual surgeons.