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November 1964

Treatment of Delayed Poststapedectomy Hearing Loss

Author Affiliations

Otolaryngology Service, Department of Surgery, Brooke General Hospital, Brooke Army Medical Center, Fort Sam Houston, Tex.

Arch Otolaryngol. 1964;80(5):485-488. doi:10.1001/archotol.1964.00750040499003

Loss of hearing after stapes surgery is a catastrophic event to patient and surgeon alike. Its etiology has not been definitely established, but most authorities are agreed that it is in some way related to traumatic mobilization, faulty surgical technique, extensive drilling, or hemorrhage.1 Occasionally none of these can be indicted, and here we must rely on that old standby, idiopathic.

Delayed hearing loss after stapes surgery is perhaps even more disconcerting; since the patient has experienced the joy of hearing restoration, its loss once again is probably more traumatic than primary loss. Much has been written concerning ways to prevent this problem, but little has been published concerning treatment of this complication. The purpose of this paper is to report two cases of delayed hearing loss after stapes surgery successfully treated by a steriodvasodilator regimen.

Report of Cases  Case 1.—A 38-year-old white male was admitted to Fitzsimons General