Endoscopic Stapedotomy - Otosclerosis Surgery

Endoscopic stapedotomy – an advanced approach in treatment of otosclerosis

Minimally invasive technique. No external incisions. Precise visualization. Long-lasting results. Endoscopic stapedotomy is a modern otologic surgical approach that enables effective treatment of otosclerosis and restoration of lost hearing.

Understanding otosclerosis – causes and symptoms

Otosclerosis is a progressive disorder of the middle ear where abnormal bone growth forms around the stapes - the smallest bone in the human body. This abnormal bone gradually:

• restricts the natural vibration of the auditory ossicles
• causes progressive hearing loss, often in both ears
• may lead to ringing in the ears (tinnitus)
• occasionally causes episodes of dizziness
• if left untreated, leads to worsening hearing loss

Endoscopic stapedotomy – advantages of a modern approach

At St. Catherine Specialty Hospital, we perform endoscopic stapedotomy – an advanced surgical technique for treating otosclerosis with numerous benefits:

• minimally invasive approach – performed through the ear canal with no external incisions
• enhanced visualization – modern 4K endoscopes provide a clear view of the surgical field
• high precision – allows accurate manipulation of the tiniest ear structures
• high-quality implants – use of titanium or plastic prostheses of excellent quality
• reduced risk of complications – improved visibility ensures greater surgical safety
• predictable outcomes – refined technique guarantees optimal results
• efficient recovery – hearing improvement often begins within a week
• long-term solution – lasting hearing improvement in over 90% of cases
• faster return to daily life – shorter recovery time allows earlier resumption of regular activities

Expertise and advanced technology

Mislav Malić, M.D., Ph.D., FEBORL-HNS, otorhinolaryngology specialist, is the only surgeon in Croatia performing this advanced technique using state-of-the-art endoscopic technology and 4K imaging systems. His approach includes:

• accessing the middle ear through the ear canal without external incisions
• gently retracting the eardrum to reach the middle ear
• precisely separating the stapes from the incus under excellent visualization
• carefully removing the non-functional stapes
• placing a specialized prosthesis that transmits sound vibrations to the inner ear

Recovery and results after the procedure