Hi, Its Been A Month I Have Been Conducted Stapedotomy

Posted on Fri, 24 May 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Fri, 24 May 2019 Answered on

Last reviewed on

Question : Hi,

its been a month i have been conducted stapedotomy . i find a very less or minimal improvement (70DB to 40db) .

after a month i have very little discharge (liquid) but not any thing abnormal or no pain .

can i wear my hearing aids as i have to go back office.

my dr is expecting to test me for a dislocation of prothesis. will there be any improvement if prothesis is dislocated

thanks
sayee

Follow up: Dr. Dr. Rajat Basak (5 minutes later)

i have uploaded my auditmoetry report and prothesis fixing screen shot

Follow up: Dr. Dr. Rajat Basak (1 minute later)

summary of my questions :

1.) can i go to work while having some discharge (very minimal , watery but not continuous)
2.) can i wear hearing aids
3.) can there be an improvement of hearing if prothesis is dislocated
4.) how long it may take if there is a improvement after surgery

thanks
sayee

Answered by Dr. Dr. Rajat Basak (1 hour later)

Brief Answer:
Hii. There is mild improvement of your hearing status as evident from your

Detailed Answer:
Hii. There is mild improvement of your hearing status as evident from your report. But if you are having discharge then you should start an antibiotic and get treated. Because stapedotomy is a sterile procedure. If your ear get infected then your piston may get affected and hearing may go down. Better to control infection by antibiotic. Please don't go to work unless infection get controlled else you can have permanent hearing loss or giddiness. If your piston get dislocated then you may need to undergo another surgery to reposition the piston. Dislocated piston may lead to hearing loss and no hearing improvement. So better you get yourself treated with antibiotics and follow up with surgeon. It will take another at least 2 week to settle after stapedotomy surgery.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Dr. Rajat Basak (2 hours later)

Hi Doctor:
thanks sir for your response.

1.) do you see the piston placement correct from the screen shot attached.

2.) its not discharge but may be some thing watery (Wet) twice a day . its not yellow but feel wet at times with little itchy . My DR dint mention of any infection over there in recent cleaning appointment . i am not sure how long it will take to fully get
this feel dry .

3.) My original question is : if this is possible to have improvement if piston was dislocated. i am going to have a CT scan next week .

4.) This hearing result is after one month of surgery . do you see further improvement forward.

thanks sir .

Answered by Dr. Dr. Rajat Basak (11 hours later)

Brief Answer:
Hii. There might mild minimal watery discharge which is common. If there

Detailed Answer:
Hii. There might mild minimal watery discharge which is common. If there is no thick yellowish discharge then your ear has no infection. As far I can analyse the picture, the piston is not dislocated. But it's confirmation can only be done by the surgeon. If piston is dislocated then there is less likely to get hearing improvement. Facial nerve is dehiscent as written in the report. There was chance of facial weakness if the nerve is dehiscent. But as you have no facial weakness then your surgeon has done a very good job.

Above answer was peer-reviewed by : Dr. Raju A.T