Minimally Invasive Stapedotomy

Stapes surgery is undeniably the most precise and exacting otologic surgery ever. This procedure involves replacing the tiny bone called the stapes, making a precise opening in the “round window” or the opening into the inner ear and accurate placement of an artificial bone or prosthesis to reconstruct the conductive mechanism of the middle ear. The placement of the window, the length and width of the prosthesis and penetration into the window are critical factors for the long-term success of the surgery.

In Dr. Manoj’s ENT, combining the world’s most advanced microscopes with precise instruments like the skeeter drill, an opening of 0.8mm is made in the footplate and a 0.6mm piston is inserted, giving fabulous hearing results. Due to the sealing of the fenestra with a vein graft, patients do not suffer from vertigo and are able to leave hospital 2 hours after surgery and take up normal, day-to-day activities immediately. This is made possible by years of surgical experience and a large load of stapedotomies done, one of the highest in India. We have an enviable record of no profound hearing loss in over 1400 stapedotomies performed.

Stapedotomy Post Operative Care

Hospital Stay

The patient stays for a few hours in the hospital.

Wound Care

  • The operated ear is usually packed and full of blood. It will feel clogged and you may hear crackling sounds.
  • Do not allow any water to enter the operated ear for the first 10 days after the surgery. Protect the ear during showering or washing the hair with a large cotton ball coated with Vaseline. It is a good idea to have someone help you with washing the scalp to avoid water. When finished washing, remove the coated cotton. A shower cap provides extra protection.
  • Do not blow your nose. Blowing can build excessive pressure in the operated ear and displace the eardrum and the Teflon piston which was inserted into the ear.
  • If you have to sneeze, please do it with your mouth wide open to avoid pressure build up in your ear.

Post operative visits

  • The first visit after the surgery is on the 10th day after surgery for wound inspection only.
  • The second visit is 3 weeks from the day of the surgery
  • Subsequent visits are the 2nd month, 3 months postoperative and every 3 months for the first year
  • The patient does an audiogram from the second visit and during every visit mentioned above.
  • Patient outside India will have to be there for at least the first two visits and make their subsequent visit on the next travel to India.

Post operative medications

The patient takes prescribed antibiotics and pain killers provided in the kit.

Routine Activities

  • The patient can travel by road or rail on the day of the surgery and by air five days after the surgery.
  • The patient can go to work the day after the surgery.
  • The patient can have a head bath the day after the surgery with ears plugged tightly with cotton smeared with Vaseline.
  • The patient can swim and dive 4-6 weeks after the surgery.
  • The patient should not lift heavy weights or strain 4-6 weeks after the surgery.
  • The can resume in scuba diving and skydive a few weeks after the surgery.

Call Us

If you experience pain, discharge or vertigo.

Welcome to my ENT department which offers comprehensive medical and surgical services at affordable cost to the patients in Kerala and beyond. The prime object behind this movement is to provide all sorts of advanced treatment in ENT,

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