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Article Abstract
Objective: To explore the results of revision stapes surgery within a multicentric cohort, focusing on hearing improvements and correlation with the type of postoperative hearing loss experienced and related findings during the revision procedure.
Methods: A retrospective study of 308 consecutive revision stapes surgeries performed ay 5 Otorhinolaryngologic Units in Pisa, Turin, Pavia, Piacenza, and Rome between 2010 and 2023 was accomplished.
Results: The most frequent causes leading to revision stapes surgery were prosthesis dislocation (56.1%), use of a short prosthesis during primary surgery (13.9%), and an eroded incus (17.2%). The median air conduction threshold significantly improved after revision surgery, while the bone conduction threshold remained stable.
Conclusions: Revision stapes surgery effectively improves hearing in patients with unsuccessful initial operations, with a significant reduction in the air-bone gap (ABG). The audiological results in our patients are favourable. ABG closure within 10 dB was achieved in 57.2% of cases and within 20 dB in 76% of cases. Stapes revision surgery is feasible and provides an acceptable success rate.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180555 | PMC |
| http://dx.doi.org/10.14639/0392-100X-suppl.1_3-45-2025-A1339 | DOI Listing |
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