[Skip to Content]
[Skip to Content Landing]
Views 215
Citations 0
Invited Commentary
November 7, 2019

What If a Stapedectomy Were Not Cost-effective?

Author Affiliations
  • 1Department of Otolaryngology, Massachusetts Eye and Ear, Boston
  • 2Department of Otolaryngology, Harvard Medical School, Harvard University, Boston, Massachusetts
JAMA Otolaryngol Head Neck Surg. Published online November 7, 2019. doi:https://doi.org/10.1001/jamaoto.2019.3366

The management of otosclerosis is viewed by many as the sine qua non of an otologic practice. From the elegant otopathologic descriptions by Ádám Politzer1 in the 19th century to surgical breakthroughs by Julius Lempert2 and John Shea Jr3 in the mid-20th century, otosclerosis and its surgical management have inspired generations of students, researchers, and surgeons alike. The allure of stapedectomy may be, in part, the elegant tightrope walk to fix hearing loss along with the anticipation of a surgeon report card that arrives in the form of an audiogram. Although the surgical treatment of otosclerosis has not drastically changed since its description by Shea,3 otosclerosis and its management remain fertile ground for research, debate, and refinement. Indeed, novel 21st-century diagnoses—such as superior canal dehiscence syndrome; technological refinements, including otoendoscopy; and even inner-ear drug delivery4—appear to be viewed in connection to otosclerosis.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×