Issue N# 3 - 2018
Floating stapes footplate, management and outcome
Authors : Carvalho F, Portmann D, Montana F, Miguéis MC, Miguéis A. (Coimbra)
Ref. : Rev Laryngol Otol Rhinol. 2018;139,3:51-54.
Article published in english 
Downloadable PDF document english
Summary :
Objective: To describe the surgical treatment and outcome in patients with floating stapes footplate found during stapes surgery. Materials and Methods: This is a retrospective study of 6 patients, who underwent stapes surgery complicated with floating footplate in the past 10 years. Results: The study included 6 patients, 5 females (83.3%) and 1 male (16.7%) with median age of 43.2 (± 16.7) years old. 33% had a previous stapedotomy in the contralateral ear without associated complications. The flotating footplate occurred in 50% after crura fracture, 33.3% during platinotomy and 16.7% after the removal of an otosclerotic focus extended to the promontory. In all patient it was possible to place the piston properly, directly in the footplate or with an interposition of a connective tissue graft. Postoperative audiometric results were significantly better, with mean air bone gap before surgery 24.9 ± 9.1 dB vs 8.2 ± 3.1 dB after surgery. One third developed vertigo immediately after surgery, and recovered after a few weeks. Conclusion: Although it is a peroperative complication it is possible to continue the surgery despite the existence of a floating footplate, with good funcional results. It is important to minimize as much as possible the injury to the footplate in order to reduce complications of the inner ear.
Price : 12.00 €
|
