Luca Bruschini, Francesco Lazzerini, Silvia Capobianco, Ottavia Marconi, Andrea Canale, Andrea Albera, Enrico Covelli, Pietro Canzi, Andrea Laborai, Domenico Cuda, Stefano Berrettini
{"title":"Stapes revision surgery: intraoperative findings and audiological results. A multicentric study.","authors":"Luca Bruschini, Francesco Lazzerini, Silvia Capobianco, Ottavia Marconi, Andrea Canale, Andrea Albera, Enrico Covelli, Pietro Canzi, Andrea Laborai, Domenico Cuda, Stefano Berrettini","doi":"10.14639/0392-100X-suppl.1_3-45-2025-A1339","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To explore the results of revision stapes surgery within a multicentric cohort, focusing on hearing improvements and correlation with the type of postoperative hearing loss experienced and related findings during the revision procedure.</p><p><strong>Methods: </strong>A retrospective study of 308 consecutive revision stapes surgeries performed ay 5 Otorhinolaryngologic Units in Pisa, Turin, Pavia, Piacenza, and Rome between 2010 and 2023 was accomplished.</p><p><strong>Results: </strong>The most frequent causes leading to revision stapes surgery were prosthesis dislocation (56.1%), use of a short prosthesis during primary surgery (13.9%), and an eroded incus (17.2%). The median air conduction threshold significantly improved after revision surgery, while the bone conduction threshold remained stable.</p><p><strong>Conclusions: </strong>Revision stapes surgery effectively improves hearing in patients with unsuccessful initial operations, with a significant reduction in the air-bone gap (ABG). The audiological results in our patients are favourable. ABG closure within 10 dB was achieved in 57.2% of cases and within 20 dB in 76% of cases. Stapes revision surgery is feasible and provides an acceptable success rate.</p>","PeriodicalId":520544,"journal":{"name":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","volume":"45 Suppl. 1","pages":"S61-S70"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180555/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14639/0392-100X-suppl.1_3-45-2025-A1339","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To explore the results of revision stapes surgery within a multicentric cohort, focusing on hearing improvements and correlation with the type of postoperative hearing loss experienced and related findings during the revision procedure.
Methods: A retrospective study of 308 consecutive revision stapes surgeries performed ay 5 Otorhinolaryngologic Units in Pisa, Turin, Pavia, Piacenza, and Rome between 2010 and 2023 was accomplished.
Results: The most frequent causes leading to revision stapes surgery were prosthesis dislocation (56.1%), use of a short prosthesis during primary surgery (13.9%), and an eroded incus (17.2%). The median air conduction threshold significantly improved after revision surgery, while the bone conduction threshold remained stable.
Conclusions: Revision stapes surgery effectively improves hearing in patients with unsuccessful initial operations, with a significant reduction in the air-bone gap (ABG). The audiological results in our patients are favourable. ABG closure within 10 dB was achieved in 57.2% of cases and within 20 dB in 76% of cases. Stapes revision surgery is feasible and provides an acceptable success rate.