ANALYSING THE EFFICACY OF SMALL FENESTRA STAPEDOTOMY VS. LARGE FENESTRA STAPEDECTOMY FOR OTOSCLEROSIS-INDUCED HEARING LOSS- A COMPARATIVE STUDY
DOI:
https://doi.org/10.56802/gvcttp81Keywords:
Air–bone gap, otosclerosis, pure tone audiometry, large fenestra stapedectomy, small fenestra stapedotomyAbstract
Background: The most frequent surgical procedures for treating otosclerosis-induced hearing loss are stapedectomy, or
big fenestra, and stapedotomy, or tiny fenestra. Although both therapy procedures have been successful, the outcomes of
comparing the two approaches are inconsistent.
Aim: The purpose of this study was to compare the effectiveness of big fenestra stapedectomy and small fenestra
stapedotomy in treating hearing loss caused by otosclerosis.
Methods: 108 participants, ages 18 to 60, with conductive hearing loss, an intact tympanic membrane, and an ABG (air
bone gap) of 30 dB were evaluated for the research. Based on the clinical history of increasing hearing loss and the results
of the audiometric examination, osteosclerosis was diagnosed. Additionally, the pure tone average showed a typical
conductive hearing loss pattern. To evaluate hearing differences, an audiological evaluation was conducted both before
and six months after surgery. All participants had the same surgical procedure, with the exception of having their foot
plates removed.




