Ossiculoplasty for Tympanosclerosis
Purpose of Review
The utility of surgery for tympanosclerosis has been a controversial topic among otologic surgeons for many decades. Knowing the variations in tympanosclerotic involvement, different aspects of surgical technique, and audiologic outcomes data can help inform the discussion of optimal management between surgeon and patient.
Tympanosclerosis can involve all structures in the middle ear, and the distribution of that involvement determines the likelihood of surgical success in hearing improvement. Most recent studies indicate that having a mobile stapes is a key prognostic factor and increases the chance of meaningful hearing improvement following surgery. Stapes surgery for tympanosclerosis can also be successful, but results are more variable.
Tympanosclerosis is a challenging condition to treat, and the decision regarding surgical management should be thoughtful and carefully weighed against benefits obtained from amplification alone.
KeywordsTympanosclerosis Ossiculoplasty Ossicular chain reconstruction Stapedectomy Conductive hearing loss
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Compliance with Ethical Standards
Conflict of Interest
Matthew M. Dedmon and Brendan P. O’Connell declare that they have no conflict of interest.
Alejandro Rivas reports being a consultant for Grace Medical, Stryker, Cook Medical, Cochlear Corp., Advanced Bionics, and Med-el.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance