Stapedectomy

Stapes bone surgery for conductive hearing loss due to otosclerosis

Written by: Saygı Hospital Health Guide Editorial Board

Last updated: June 12, 2026

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Stapedectomy?

Otosclerosis is a labyrinthine bone disease causing immobilization of the stapes footplate at the oval window, characterized by conductive hearing loss. Stapedectomy or stapedotomy involves mobilizing the stapes and replacing it with a teflon, titanium, or platinum piston.

The procedure is performed transcanal under microscope, typically with local or general anesthesia. In experienced hands, hearing gain rates exceed 90%.

Due to risks of postoperative vertigo, taste disturbance, and rare sensorineural hearing loss, appropriate patient selection and an experienced surgeon are essential.

Symptoms

Progressive conductive hearing loss

Paracusis willisii (better hearing in noise)

Tinnitus

Family history of otosclerosis

Normal-appearing tympanic membrane

Imbalance is rare

Risk Factors

Genetic predisposition

Female sex

Rapid progression during pregnancy

Caucasian race

Familial otosclerosis history

Middle age (20-50)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

Progressive conductive hearing loss
Inadequate benefit with hearing aid
Tinnitus and social isolation
Presence of paracusis
When tympanic membrane is intact and there is no discharge

Treatment Methods

Audiometric diagnosis and type identification

Transcanal stapedotomy/stapedectomy

Piston prosthesis placement

Postoperative vertigo management

Calcium fluoride therapy (selected cases)

Rehabilitation and hearing aid alternative

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.