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February 12, 2023Otosclerosis-Stapedotomy with Fluoroplastic piston
Otosclerosis is a condition that affects the bones in the middle ear, specifically the stapes bone. When otosclerosis causes significant hearing loss, a surgical procedure called stapedotomy is often performed. During a stapedotomy, the stapes bone is partially or completely removed and replaced with an artificial prosthesis to improve hearing.
Fluoroplastic refers to the type of material used for the prosthesis in a stapedotomy procedure. Fluoroplastic, also known as Teflon, is a synthetic material that is commonly used in medical devices due to its excellent biocompatibility and tissue compatibility. It is an inert material that is able to withstand the natural movements of the ear while maintaining stability and functionality.
Stapedotomy with Fluoroplastic Piston is a surgical procedure that is commonly performed to treat a condition known as otosclerosis. Otosclerosis is a disorder that primarily affects the bones in the middle ear, specifically the stapes bone. The stapes bone is responsible for transmitting sound vibrations from the outer ear to the inner ear. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan.
In individuals with otosclerosis, the stapes bone becomes fixed and immobile, leading to hearing loss. This occurs due to abnormal bone growth that prevents the normal movement of the stapes bone. As a result, sound waves cannot be effectively transmitted through the ear, causing varying degrees of hearing impairment.
Stapedotomy aims to restore hearing by replacing the fixed stapes bone with a prosthesis. During the procedure, the surgeon creates a tiny hole in the fixed stapes bone and removes it. An artificial piston, made of either titanium or a platinum-iridium alloy, is then inserted to act as a bridge between the incus bone and the oval window of the inner ear. This allows sound waves to be transmitted to the inner ear, bypassing the fixed stapes bone.
One advantage of stapedotomy over the older technique of stapedectomy is its minimally invasive nature. Stapedotomy allows for a smaller incision and often results in faster recovery time, less postoperative pain, and reduced risk of complications. It also preserves most of the patient’s natural ear structure, enabling better sound conduction.
However, it is important to note that stapedotomy is not suitable for all individuals with otosclerosis. Factors such as the severity of the condition, the size of the oval window, and the patient’s overall health must be considered before determining the appropriateness of this procedure.
Following stapedotomy, the patient typically undergoes a period of healing and recovery. Some individuals may experience temporary dizziness, discomfort, or changes in taste, but these symptoms usually resolve within a few weeks. As the ear heals, gradual improvement in hearing is expected. However, complete restoration of normal hearing may not be possible in all cases.
In conclusion, stapedotomy is a surgical procedure that has revolutionized the treatment of otosclerosis and has provided many individuals with improved hearing function. It offers a minimally invasive approach, faster recovery time, and a high success rate. Nonetheless, a thorough examination and consultation with an ear, nose, and throat specialist is essential to determine whether stapedotomy is the appropriate treatment option for each individual case.
Otosclerosis is a major cause of hearing loss specially in young individuals. Stapedotomy is the procedure of choice for hearing restoration.
This is an educational video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University Hospital.
