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 There are three bones in the middle ear: the stapes, the incus and the malleus. The surgical procedure in which the stapes, the innermost bone of the middle ear, is removed is called stapedectomy. During stapedectomy surgery the stapes is replaced with prosthesis, a small plastic tube containing a short stainless steel wire.

Why is Stapedectomy is Perforemed?

Stapedectomy surgery is performed to improve the sound movement accessing the inner ear. Otosclerosis is a condition in which the spongy bone hardens around the staples, fixing them to the opening of the inner ear, which impedes them vibrating properly. The result is a progressive hearing loss. Severe otosclerosis can affect the malleus and the incus, even the bone surrounding the inner ear. The result may be total deafness.

Some other conditions requiring stapedectomy surgery besides otosclerosis include congenital abnormalities of the stapes or fracture due a traumatic incident.

Stapedectomy Surgery – Basics

  • Patients with significant hearing loss and otosclerosis are the best candidates for stapedectomy.inner-ear
  • Before the surgery, extensive audiometric tests are performed along with physical ear examination, medical history review, and repeated consultation with the ear surgeon.
  • Surgery is performed on an outpatient basis under general anesthesia. If both ears require stapedectomy surgery, the second ear can be treated after six months.
  • Stapedectomy surgery takes about one hour and hearing improvement is experienced after about four weeks post-surgery.
  • During this time, strenuous activity should be avoided and a strict regimen of medications must be observed.
  • Some common risks of stapedectomy surgery include:
  • A slight chance of complete and permanent hearing loss
  • Dizziness
  • Partial or complete facial paralysis due to nerve and muscle innervation.
  • Noises in the ear (tinnitus)
  • Taste abnormalities due to nerve innervation.
  • Dead labyrinth
  • Perilymph fistula
  • Labyrinthitis
  • Granuloma
  • Perilymph gush
  • Facial palsy
  • Vertigo
  • Vomiting
  • Floating foot plate
  • Tympanic membrane tear

Stapedectomy Surgery Cost

Facilitated by medical tourism, stapedectomy is a commonly sought for procedure abroad. Countries like India and Thailand offer far more favorable stapedectomy surgery cost than most Western countries (in the U.S. it ranges between $6,000 and $15,000).  Mumbai, Delhi and Bangalore are typical medical destinations for stapedectomy. Surgical procedures in exotic places are recommended because of the idyllic conditions for the post-op care.


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