Role of stapedotomy in the treatment of otosclerosis: Our experience

Objectives: The aim of this retrospective study is to assess the treatment outcome with respect to improvement in hearing after stapedotomy for otosclerosis in a tertiary care hospital. Methods: Specifically, a retrospective study of patient’s records was performed at the Department of Ear, Nose and Throat (ENT), Hayatabad Medical Complex, Peshawar, Pakistan from May 2017 to December 2019. Patients with confirmed diagnosis of otosclerosis on pure tone audiogram and typanometry were included in this study. Known otosclerotic patients who underwent revision stapedotomy and tympanosclerotic patch were excluded. Results: Out of the total 51 patients who underwent stapedotomy, 29 (57%) were males and 22 (43%) were females, while the mean age of patients at presentation was 33±7.1 years (range=18-46 years). Post-operatively, the improvement in hearing was best (greater/equal-to 30dB) in 29 (56%) patients, better in 11 (22%) patients (21-30dB), good (11-20dB) in 7 (14%) patients and fair (0-10dB) in 4 (8%) patients. Conclusions: Stapedotomy as a treatment for hearing loss in otosclerosis results in improvement of hearing thresholds in a significant number of patients.