What Is Stapedectomy?
Stapedectomy is a surgical procedure in which the stapes bone, causing hearing loss, is removed and replaced with a prosthesis. This operation is most commonly performed in patients with otosclerosis. In otosclerosis, the stapes becomes fixed and sound vibrations cannot be transmitted to the inner ear. During stapedectomy, the immobilized bone is removed and replaced with a small prosthetic device.
The surgery is usually performed under general or local anesthesia. The procedure is carried out through the ear canal, without external incisions. Stapedectomy can significantly improve conductive hearing loss. After a successful operation, patients often begin to hear more clearly and strongly.
When Is Stapedectomy Performed?
Stapedectomy is typically performed for conductive hearing loss caused by otosclerosis. In otosclerosis, the stapes loses its mobility and sound vibrations cannot reach the inner ear. This leads to progressive hearing loss. Surgery is preferred when hearing aids do not provide sufficient benefit. Detection of conductive hearing loss on audiometry testing is an important criterion.
If the eardrum and inner ear structures are healthy, the patient may be a suitable candidate for stapedectomy. The goal is to restore sound transmission by replacing the fixed bone with a prosthesis. In appropriate patients, stapedectomy can significantly improve hearing levels.
How Is Stapedectomy Performed?
Stapedectomy is performed by removing the immobilized stapes bone and inserting a special prosthesis in its place. The surgery is usually carried out through the ear canal without any external incision. Under a microscope, the surgeon lifts the eardrum to access the middle ear. The fixed stapes bone is carefully removed.
A small prosthesis is then placed to restore sound conduction. The procedure may be done under local or general anesthesia and typically lasts between 45 and 90 minutes. Hearing usually improves noticeably within a few weeks after surgery. Stapedectomy is an effective surgical method, especially for hearing loss caused by otosclerosis.
How Long Does Stapedectomy Surgery Take?
Microsurgical stapedectomy generally takes between 1 and 2 hours. The duration may vary depending on the condition of the ear structures and the surgeon’s experience. The procedure is usually performed as day surgery. After local or general anesthesia, short-term observation may be required.
A small ear packing may be placed after the procedure, and the patient is often discharged the same day. Hearing improvement typically begins within a few weeks. The recovery period is just as important as the surgical process for achieving successful results.
Who Is a Candidate for Stapedectomy?
Stapedectomy may be a suitable treatment option for patients with conductive hearing loss in the middle ear. Individuals diagnosed with otosclerosis and confirmed conductive hearing loss on hearing tests are potential candidates. If there are no additional structural or infection-related ear problems, the success rate is high.
Stapedectomy is generally performed in adults over the age of 18. It is recommended for patients who do not gain sufficient benefit from hearing aids. The decision is made after routine ear examination, audiometry, and imaging. Proper patient selection positively influences postoperative recovery.
When Does Hearing Improve After Stapedectomy?
Hearing improvement usually begins within a few weeks after stapedectomy. In the first days, there may be ear packing or a sensation of fullness, which is temporary. Hearing clarity typically improves between 2 and 6 weeks after surgery.
The final hearing level is evaluated during follow-up visits. Avoiding sudden pressure changes supports recovery. Hearing improvement may vary from patient to patient, but most experience significant gains. Regular follow-up is essential for long-term success.
Is Stapedectomy a Risky Procedure?
Like any surgical procedure, stapedectomy carries some risks, but it is generally safe in experienced hands. Common risks include dizziness, temporary hearing reduction, or tinnitus. In rare cases, permanent hearing loss or facial nerve involvement may occur.
Although these risks are uncommon, patients are informed in detail beforehand. Stapedectomy generally has a low complication rate and high success outcomes. Thorough preoperative evaluation and careful patient selection reduce risks. With appropriate postoperative care, recovery is usually smooth.
What Should Be Considered After Stapedectomy?
During recovery, activities that increase ear pressure should be avoided after stapedectomy. Air travel, heavy lifting, forceful sneezing, or straining may harm the ear. Preventing water from entering the ear is very important; caution should be taken while bathing.
Medications prescribed by the doctor should be used regularly, and follow-up appointments should not be missed. If ear pain, discharge, or sudden hearing loss occurs, medical attention should be sought immediately. Hearing tests are used to monitor recovery. Rest and ear protection during the first few weeks increase success.
Stapedectomy Prices 2026
In 2026, stapedectomy surgery prices in Turkey may range between 15,000 TL and 40,000 TL. A doctor’s examination is required for exact information. Current price research should always be conducted.
Frequently Asked Questions
When Does Hearing Start to Improve After Stapedectomy?
Hearing usually begins to improve gradually within the first week after stapedectomy.
Does Stapedectomy Fully Restore Hearing?
In patients with conductive hearing loss, stapedectomy often significantly restores hearing.
Is Dizziness Normal After Surgery?
Mild dizziness after stapedectomy is common and usually temporary.
Is Stapedectomy Performed for All Types of Conductive Hearing Loss?
Stapedectomy is primarily performed in cases involving stapes fixation, such as otosclerosis.
Will a Hearing Aid Still Be Needed After Stapedectomy?
In many patients, the need for a hearing aid is greatly reduced after stapedectomy.
Up to What Age Can Stapedectomy Be Performed?
Stapedectomy can generally be performed at any age if the patient’s health condition is suitable.
Can Someone Who Previously Had Ear Surgery Undergo Stapedectomy Again?
Yes, if appropriate conditions are met, revision stapedectomy may be performed in selected patients.