Long-term hearing performance after stapedectomy

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Abstract
The original concept of [human] stapes replacement (Shea, 1958) is the best means of treating otosclerosis. Stapedectomy reduces the rate of progressive cochlear dysfunction which affects all otosclerotic ears. It is preferable to operate early on properly selected ears rather than to do nothing, to postpone an operation, or to prescribe a hearing aid in the 1st instance. Although the span of social adequacy has its limits, the expectancy of useful hearing following stapedectomy entirely justifies the very small possibility of sensorineural loss (provided certain at-risk ears are recognized and not operated upon). The expected duration of unaided hearing is likely to cover most individuals'' time of greatest need for hearing sufficiency. In order to prolong the duration of social adequacy, and to ensure that when it becomes necessary to provide amplification, discrimination for speech will be as well preserved as possible, a small fenestra technique is essential.

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