Mohammad-Taghi Khorsandi-Ashtiani - Professor of Otolaryngology, Otorhinolaryngology Research Center, Department of Otolaryngology, Amir-A’lam Hospital,Tehran University of Medical Sciences, Tehran, Iran
Varasteh Vakili-Zarch - Resident of Otolaryngology, Otorhinolaryngology Research Center, Department of Otolaryngology, Amir-A’lam Hospital,Tehran University of Medical Sciences, Tehran, Iran
Ali Kouhi - Assistant Professor of Otolaryngology, Otorhinolaryngology Research Center, Department of Otolaryngology, Amir-A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran

Background: Stapes management in tympanosclerosis has always been controversial. There are evidences supporting stapes mobilization, but there are concerns regarding refixation and recurrence of conductive hearing loss; therefore, supporting stapedectomy. Methods: In this retrospective study, clinical records, operative notes, and audiologic data of patients with stapes fixation (1994–2011) were analyzed. Audiometric findings are reported according to therecommendations of the Committee on Hearing and Equilibrium 1995 Guidelines for the Evaluation of Resultsof Treatment of Conductive Hearing Loss. Results: In the present study, 66 patients were enrolled (23 male, 43 female). Stapedectomy and stapesmobilization both had good hearing results (12.1 dB vs. 10.6 dB reduction in ABG) and there was nosignificant difference. Overall, 63.6% of patients had achieved good results (mobilization: 57.9%, stapedectomy: 71.4%). The difference in success rate between the two groups was not statistically significant.Conclusions: Stapedectomy and mobilization of stapes both seem to be efficacious and safe in the treatment of stapes involvement in tympanosclerosis. The hearing improvement is long lasting in both procedures. © 2014 Tehran University of Medical Sciences. All rights reserved. Citation: Khorsandi-Ashtiani MT, Vakili-Zarch V, Kouhi A. Stapes Management in Tympanosclerosis. Acad J Surg, 2014; 1(1): 20-4.

Tympanosclerosis, Chronic otitis media, Stapes fixation, Stapedectomy, Stapes mobilization,Ossicular reconstruction