Ossiculoplasty for Tympanosclerosis

AbstractPurpose of ReviewThe 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.Recent FindingsTympanosclerosis 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.SummaryTympanosclerosis is a challenging condition to treat, and the decision regarding surgical management should be thoughtful and carefully weighed against benefits obtained from amplification alone.

Source: Current Otorhinolaryngology Reports - January 14, 2020 Category: ENT & OMF Source Type: research