Our experience of stapes superstructure and incudostapedial joint preservation in otosclerosis surgery

Abstract

Key points

•Preservation of the stapes anterior crus and incudostapedial joint can be considered an evolution of the stapedotomy technique, which itself has evolved from stapedectomy.

•This approach can be adopted as part of a 'reversal steps' stapedotomy.

•Removing the stapes superstructure is a surgical step associated with risk of footplate mobilization or fracture, and in selected cases may be avoided.

•We report an average hearing gain of 26dB when using this technique in 21 patients, compared to 28dB when using a conventional technique.

•Randomised studies would be necessary to demonstrate non‐inferiority of a stapes preservation stapedotomy technique.

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