Precision ENT Care • Improved Hearing • Faster Recovery
Restore Your Hearing with SurgiPartner Advanced Stapedectomy Surgery
Stapedectomy in Hyderabad — Hearing Restoration Surgery for Otosclerosis
Stapedectomy is a highly specialised microsurgical procedure to restore hearing in patients with otosclerosis — a condition where abnormal bone remodelling progressively fixes the stapes (the innermost and smallest bone in the human body) to the oval window of the inner ear, preventing sound transmission and causing progressive conductive hearing loss. In experienced hands, stapedectomy achieves hearing restoration to within normal or near-normal levels in approximately 90–95% of suitable candidates — making it one of the most gratifying procedures in all of ENT surgery. SurgiPartner connects patients in Hyderabad with ENT otologists with specific middle ear microsurgery expertise.
Understanding Otosclerosis — The Cause of Stapes Fixation
The normal stapes rocks back and forth at the oval window with each sound wave, transmitting mechanical vibration to the fluid of the inner ear (cochlea). In otosclerosis, abnormal remodelling of the endochondral (otic capsule) bone produces spongy, vascular bone (otospongiosis) around the stapes footplate. As this process progresses, the stapes footplate becomes progressively fixed — the vibration pathway is interrupted, and sound cannot enter the inner ear. The condition is bilateral in 70–80% of patients (though asymmetric) and affects women more commonly, often accelerating during pregnancy.
Symptoms Indicating the Need for Stapedectomy
- Gradual hearing loss in one or both ears
- Difficulty hearing low-frequency sounds clearly
- Ringing or buzzing sound (tinnitus)
- Sensation of ear blockage without pain
- Hearing that worsens over time despite medications
- Family history of otosclerosis
Audiological Features of Otosclerosis
Pure tone audiometry in otosclerosis typically shows: conductive hearing loss — air-bone gap of 25–60dB; preserved bone conduction thresholds (the inner ear sensorineural function is initially normal); a characteristic Carhart’s notch (a mechanical artefact causing apparent depression at 2000Hz on bone conduction); and type As tympanogram (reduced compliance from stiffened ossicular chain). Stapedial reflexes are absent on ipsilateral and contralateral stimulation — an important diagnostic finding distinguishing otosclerosis from other causes of conductive hearing loss.
Stapedectomy vs Stapedotomy — The Modern Standard
Stapedectomy (original technique) involves complete removal of the stapes footplate and replacement with a prosthesis resting on a connective tissue graft sealing the oval window. While effective, this creates a larger oval window opening with associated risk of perilymph fistula and inner ear trauma.
Stapedotomy — the current gold standard — involves drilling a precise small fenestration (0.6–0.8mm) in the stapes footplate using a hand drill, microdrill, or CO₂/Er:YAG laser, and inserting a piston prosthesis (titanium, fluoroplastic, or nitinol) through the fenestration. Advantages of stapedotomy over stapedectomy: smaller oval window opening, less perilymph disturbance, lower risk of sensorineural hearing loss, equivalent or superior hearing outcomes, and preferred technique at high-volume otological centres worldwide.
Laser Stapedotomy
CO₂ laser or KTP laser stapedotomy creates the footplate fenestration with non-contact laser energy — eliminating mechanical pressure on the inner ear during footplate drilling, reducing vibration-induced inner ear trauma, and providing a precisely sized perforation. Laser stapedotomy is considered the safest technique and is the preferred method at SurgiPartner’s partner otological centres in Hyderabad.
Book Your Consultation
Take the first step toward relief from abdominal pain with SurgiPartner Advanced Appendectomy Surgery.
Live free from pain and discomfort that’s the SurgiPartner promise.
Your Personalized Path to Wellness
Follow your step-by-step guide to a successful surgery and recovery, with our expert team supporting you all the way.
Book FREE Consultation
Fill in your details and we'll call you back to confirm your slot.
