Otosclerosis and the evolution of stapes surgery: A historical and otopathological study
Abstract Objective To explore the historical evolution of surgical techniques for otosclerosis treatment, viewed through the lens of human temporal bone pathology to aid in understanding the disease and refining surgical interventions. Data sources A review of historical literature on otosclerosis,...
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| Format: | Article |
| Language: | English |
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Wiley
2024-12-01
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| Series: | Laryngoscope Investigative Otolaryngology |
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| Online Access: | https://doi.org/10.1002/lio2.70045 |
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| author | Dilshan Rajan Sebahattin Cureoglu Meredith E. Adams Rafael Monsanto |
| author_facet | Dilshan Rajan Sebahattin Cureoglu Meredith E. Adams Rafael Monsanto |
| author_sort | Dilshan Rajan |
| collection | DOAJ |
| description | Abstract Objective To explore the historical evolution of surgical techniques for otosclerosis treatment, viewed through the lens of human temporal bone pathology to aid in understanding the disease and refining surgical interventions. Data sources A review of historical literature on otosclerosis, surgical techniques, and otopathological findings was conducted. Eight temporal bone specimens from the Paparella Otopathology & Pathogenesis Laboratory, University of Minnesota, and one from the University of California, Los Angeles, were analyzed. Review methods We selected two temporal bones from donors who underwent four different types of surgical procedures for otosclerosis: stapes mobilization, fenestration, stapedectomy, and stapedotomy. One successful and one complication case was selected for each procedure. Histopathological analysis was performed to assess the outcomes and complications associated with each technique. Results The study chronicles the progression of otosclerosis surgery from the stapes mobilization to modern stapedectomy and stapedotomy techniques. Initial procedures, like stapes mobilization and fenestration, yielded limited and temporary results with significant complications. The introduction of stapedectomy marked a significant improvement, with better long‐term outcomes. Histopathological analysis revealed insights into the causes of surgical failures and complications. Conclusion Otosclerosis surgery has evolved significantly, driven by advances in otopathology and surgical technology. While earlier techniques offered limited success, modern procedures like stapedectomy and stapedotomy provide improved outcomes and fewer complications. Ongoing research promises further advancements in the field, improving patient care and surgical efficacy. Level of evidence NA. |
| format | Article |
| id | doaj-art-0148a811f7c544b1a67e5bda3e48af39 |
| institution | OA Journals |
| issn | 2378-8038 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj-art-0148a811f7c544b1a67e5bda3e48af392025-08-20T01:59:53ZengWileyLaryngoscope Investigative Otolaryngology2378-80382024-12-0196n/an/a10.1002/lio2.70045Otosclerosis and the evolution of stapes surgery: A historical and otopathological studyDilshan Rajan0Sebahattin Cureoglu1Meredith E. Adams2Rafael Monsanto3Department of Otolaryngology‐Head & Neck Surgery University of Minnesota Minneapolis Minnesota USADepartment of Otolaryngology‐Head & Neck Surgery University of Minnesota Minneapolis Minnesota USADepartment of Otolaryngology‐Head & Neck Surgery University of Minnesota Minneapolis Minnesota USADepartment of Otolaryngology‐Head & Neck Surgery University of Minnesota Minneapolis Minnesota USAAbstract Objective To explore the historical evolution of surgical techniques for otosclerosis treatment, viewed through the lens of human temporal bone pathology to aid in understanding the disease and refining surgical interventions. Data sources A review of historical literature on otosclerosis, surgical techniques, and otopathological findings was conducted. Eight temporal bone specimens from the Paparella Otopathology & Pathogenesis Laboratory, University of Minnesota, and one from the University of California, Los Angeles, were analyzed. Review methods We selected two temporal bones from donors who underwent four different types of surgical procedures for otosclerosis: stapes mobilization, fenestration, stapedectomy, and stapedotomy. One successful and one complication case was selected for each procedure. Histopathological analysis was performed to assess the outcomes and complications associated with each technique. Results The study chronicles the progression of otosclerosis surgery from the stapes mobilization to modern stapedectomy and stapedotomy techniques. Initial procedures, like stapes mobilization and fenestration, yielded limited and temporary results with significant complications. The introduction of stapedectomy marked a significant improvement, with better long‐term outcomes. Histopathological analysis revealed insights into the causes of surgical failures and complications. Conclusion Otosclerosis surgery has evolved significantly, driven by advances in otopathology and surgical technology. While earlier techniques offered limited success, modern procedures like stapedectomy and stapedotomy provide improved outcomes and fewer complications. Ongoing research promises further advancements in the field, improving patient care and surgical efficacy. Level of evidence NA.https://doi.org/10.1002/lio2.70045inner earotologyotopathologyotosclerosisstapes surgerytemporal bone pathology |
| spellingShingle | Dilshan Rajan Sebahattin Cureoglu Meredith E. Adams Rafael Monsanto Otosclerosis and the evolution of stapes surgery: A historical and otopathological study Laryngoscope Investigative Otolaryngology inner ear otology otopathology otosclerosis stapes surgery temporal bone pathology |
| title | Otosclerosis and the evolution of stapes surgery: A historical and otopathological study |
| title_full | Otosclerosis and the evolution of stapes surgery: A historical and otopathological study |
| title_fullStr | Otosclerosis and the evolution of stapes surgery: A historical and otopathological study |
| title_full_unstemmed | Otosclerosis and the evolution of stapes surgery: A historical and otopathological study |
| title_short | Otosclerosis and the evolution of stapes surgery: A historical and otopathological study |
| title_sort | otosclerosis and the evolution of stapes surgery a historical and otopathological study |
| topic | inner ear otology otopathology otosclerosis stapes surgery temporal bone pathology |
| url | https://doi.org/10.1002/lio2.70045 |
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