© Borgis - New Medicine 3/1999, s. 39-41
Andrzej Makowski, Agata Makowska-Piontek
Stapedectomy in children
Department of Otolaryngology, Institute of the „Polish Mother´s Hospital”, Łódź
Head of the Dep.: Ass. Prof. Andrzej Makowski, M.D.
Stapedectomy in children has aroused much controversy regardless of its specific motivation, whether a fixed stapes is operated on because of a developmental anomaly, otosclerosis, or injury. J.W. House and co-workers (3) began their 1980 report on this subject with the words: „Stapedectomy on a child? Never! But we believe there are indications”, whereas B. Teunissen and co-workers (4, 5) are of the opinion that children who qualify for stapedectomy can be operated upon on certain conditions: 1. They must be over 10 years of age at the time of operation. 2. They must be free for any length of time from episodes of otitis media secretoria. 3. The procedure must be preceded by tone and speech audiometry, and by contralateral stapedial reflex examination. 4. In children with hypoacusis of the mixed type, a CT scan of the temporal bones should be performed. According to H.P. House (1, 2), unilateral hypoacusis caused by congenital stapes fixation does not require operative treatment, but bilateral hypoacusis must be corrected surgically by the time the child attends school.
Material and method
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1. House H.P.: Diagnostic aspects of congenital ossicular fixation. Trans. Am. Acad. Ophthalmol. Otolaryngol., 1956, 6, 787. 2. House H.P.: Congenital fixation of the stapes footplate. Otolaryngol. Clin. North. Am., 1969, 3. House J.W. et al.: Stapedectomy in children. Laryngoscope, 1980, 90, 1 l, 1804. 4. Teunissen B. et al.: Isolated Congenital Stapes Ankylosis: Surgical Results in 32 Ears and a Review of the Literature. Laryngoscope, 1990, 100, 12, 1331. 5. Teunissen B., Cremers C.W.R.J.: Surgery for congenital stapes ankylosis with an associated congenital ossicular chain anomaly. Int. J. Pediatr. Otorhinolaryngol.,1991, 21, 3, 217.