Otosclerosis and Stapes Surgery

At Spokane ENT, we provide comprehensive evaluation and treatment of otosclerosis, a condition characterized by abnormal bone remodeling in the middle ear that causes progressive conductive hearing loss. Otosclerosis occurs when the stapes bone, one of the three small bones in the middle ear, becomes fixed in place due to abnormal bone growth, preventing it from vibrating properly and transmitting sound to the inner ear. Our team performs detailed evaluation including audiometric testing, tympanometry, and imaging studies to confirm the diagnosis and assess the extent of hearing loss. We work closely with patients to understand their hearing needs and determine the most appropriate treatment approach.

We specialize in stapedectomy and stapedotomy procedures, which are surgical techniques designed to restore hearing function in patients with otosclerosis. During these procedures, our surgeons remove the fixed stapes bone and replace it with a prosthetic device that allows sound waves to be transmitted to the inner ear. Stapedotomy involves creating a small hole in the footplate of the stapes and inserting a piston-like prosthesis, while stapedectomy involves removing a portion of the stapes footplate. Both procedures are performed using advanced microsurgical techniques under local or general anesthesia, with the goal of improving hearing while minimizing the risk of complications such as sensorineural hearing loss or vertigo.

Our team provides comprehensive preoperative evaluation, including detailed audiometric assessment and counseling about the procedure, expected outcomes, and potential risks. Following surgery, we offer close postoperative monitoring and follow-up care to ensure optimal healing and hearing improvement. Most patients experience significant improvement in hearing following stapes surgery, with many achieving near-normal hearing function. We work with patients throughout their recovery process, providing guidance on activity restrictions, follow-up appointments, and long-term hearing management to ensure the best possible outcomes.