OBJECTIVE Micropick fenestration of the stapes footplate, a difficult step in stapedotomy, was selected for trials evaluating the potential for robotic assistance (RA) to improve clinical measures of surgical performance. STUDY DESIGN In a surgical model of stapedotomy, we measured accuracy of fenestration to a desired point location and force applied to the stapes footplate. Performance vari...

Background Although the utility of laser fiber in microscopic stapes surgery has been documented past, their role can be highly emphasized endoscopic surgery, especially difficult anatomical situations. Methods This is a retrospective analysis cases where total 46 patients (22 conventional stapedotomy and 24 CO2 laser-assisted stapedotomy) were included study. The clinical parameters assessed b...

OBJECTIVES/HYPOTHESIS To propose an evidence-based strategy for the management of patients with advanced otosclerosis accompanied by severe to profound hearing loss. STUDY DESIGN Systematic review of the literature and development of treatment guidelines. METHODS A systematic review was conducted on (advanced) otosclerosis and cochlear implantation or stapedotomy. We focused on hearing resu...

Stapedotomy is primarily performed to treat hearing loss secondary to otospongiosis, although some patients find that the accompanying tinnitus is more bothersome than the hearing loss. We prospectively studied 23 consecutive patients with tinnitus secondary to otospongiosis who had undergone stapedotomy, and we compared their preand postoperative medical and audiologic findings. Patients’ anno...

OBJECTIVE To compare the hearing results in patients with otosclerosis who underwent a stapedotomy with either a platinum wire prosthesis or a commercially available, heat-activated nitinol stapes piston prosthesis. DESIGN Retrospective medical chart review. SETTING Academic tertiary care medical center. PATIENTS Seventy-nine consecutive patients diagnosed as having otosclerosis who under...