ArticleActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2025
Stapes revision surgery: intraoperative findings and audiological results. A multicentric study.
Article in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Körner's septum as a determinant of the tympanic facial nerve-stapes relationship and epitympanic anatomy: a CT-based morphometric analysis and risk stratification model.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Improved visualization of malpositioned middle ear prostheses using photon-counting detector CT: a cadaver study.Radiology advances · 2026Article
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11 authors.
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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.
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