Is Small-Fenestra Stapedotomy a Safer Outpatient Procedure than Total Stapedectomy?

Vol. 68, No. 2, 2006

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Original Paper

Is Small-Fenestra Stapedotomy a Safer Outpatient Procedure than Total Stapedectomy?
J.-P. Vasama^{a, b}, J. Kujala^c, T.P. Hirvonen^c

^aDepartment of Otorhinolaryngology, Tampere University, and
^bDepartment of Eye, Ear- and Oral Diseases, Tampere University Hospital, Tampere;
^cDepartment of Otorhinolaryngology, Helsinki University Hospital, Helsinki, Finland

Address of Corresponding Author

ORL 2006;68:99-102 (DOI: 10.1159/000091211)

Key Words

Otosclerosis
Outpatient surgery

Abstract

We compared two stapedoplasty techniques to evaluate whether one technique is safer than the other as an outpatient procedure and to demonstrate possible reasons for outpatient failures. We performed a retrospective study of patient records of 94 operated adult patients who were all initially scheduled for outpatient surgery for otosclerosis (47 total stapedectomies and 47 small-fenestra stapedotomies). Six patients (13%) with stapedectomy and 1 patient (2%) with stapedotomy had to stay overnight at the hospital due to postoperative vertigo and nausea. The number of outpatient failures was statistically significantly different between the stapedoplasty techniques (p = 0.05). Five patients (11%) with stapedectomy and 2 patients (4%) with stapedotomy had a drop in bone conduction threshold between 5 and 8 dB pre- to postoperatively (n.s.). The short-term hearing improvement did not differ statistically significantly between the techniques when compared to the preoperative values. Small-fenestra stapedotomy is the safer procedure to be performed as outpatient setting than total stapedectomy.

Author Contacts

Juha-Pekka Vasama, MD Department of Otorhinolaryngology, Tampere University Hospital Teiskontie 35, PO Box 2000 FI-33521 Tampere (Finland) Tel. +358 3 3116 4828, Fax +358 3 3116 4366, E-Mail juha-pekka.vasama@pshp.fi

Article Information

Received: October 29, 2004
Accepted after revision: June 10, 2005
Published online: January 27, 2006
Number of Print Pages : 4
Number of Figures : 0, Number of Tables : 2, Number of References : 13

Medline Abstract (ID 16446555)

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