Mount Sinai neurotologists (Drs. Schwam, Perez, Cosetti, and Wanna) are experts in endoscopic ear surgery, a minimally invasive approach that is only performed in a small number of centers worldwide. Endoscopic ear surgery affords the surgeon a better view and the ability to see around corners.
Stapedectomy is performed for patients with otosclerosis. Otosclerosis typically causes a lower frequency conductive hearing loss (although it may cause mixed or sensorineural hearing loss as well) and is a bone remodeling disorder that initially affects the stapes footplate, impeding the transmission of sound from the air to the inner ear. Stapedectomy is a highly effective procedure with a long history, and involves removing the stapes superstructure, drilling or lasering a small hole in the stapes footplate (making a fenestra, or stapedotomy), and placing a small prosthesis around the incus long process and into the stapedotomy, thereby restoring the continuity and mobility of the ossicular chain. For patients who are poor candidates or who wish to avoid surgery, a conventional hearing aid can also be effective.
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The Mount Sinai Otolaryngology Surgical Video Series was edited by Dr. Zachary Schwam.
