Surgery of Stapes Fixations
This book provides the first comprehensive overview of the various conventional and cutting-edge surgical techniques for stapes fixations. After describing the broad range of stapes fixations, it discusses the preoperative diagnostic workup, with special
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Surgery of Stapes Fixations
Istvan Sziklai Editor
Surgery of Stapes Fixations
Editor Istvan Sziklai Department of Otorhinolaryngology University of Debrecen Debrecen Hungary
ISBN 978-3-319-28574-0 ISBN 978-3-319-28576-4 DOI 10.1007/978-3-319-28576-4
(eBook)
Library of Congress Control Number: 2016935717 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer International Publishing AG Switzerland is part of Springer Science+Business Media (www.springer.com)
Preface
Conductive hearing loss due to immobility of the stapes was considered as otosclerosis from the beginning of the history of otology. Still today many ear surgeons think that hearing loss related to stapes fixation is otosclerotic in origin. This dogma is attempted to elucidate in this book since gradually increasing evidences of non-otosclerotic stapes fixation and its relatively high incidence are accumulated. The etiology of stapes fixation influences the surgical technique to be chosen. A new horizon of preoperative diagnosis of otosclerosis is opened by the observation that measles virus particles in the otosclerotic footplate are all the time present in otosclerosis and that antimeasles IgG concentration in the sera of patients with otosclerosis-related conductive hearing loss is low as if the immune system of these patients wouldn’t recognize the vaccination. Different new surgical solutions are introduced in stapes surgery, i.e., laser fenestration of stapes and endoscopic approach of the oval window niche. Robotic surgery of the stapes is still experimental; however, it can be predicted that in the near future robotic procedures will be included in the repertoire of the surgery of stapes fixations. Manufacturing piston prosthesis for reconstruction of the ossicular chain after stapedectomy/ stapedotomy followed a greatful evolution as to shape, material, and
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