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Results: Most common age group was 21-30 years (50%) and 68.75% patients were male .Most of the patients were primarily educated (31.25%) and middle class people was maximum (62.5%). Most patients came to hospital referred by outside doctor (62.5%) and most of them were from rural area of Bangladesh(62.5%).Main presenting symptoms were progressive deafness and duration of hearing loss for 2-5 years was 31.25%. Most of the tympanic membranes (86.75%) were normal. Rinne was negative in all cases and Weber lateralized to affected ear or more deaf ear in 93.75% cases. Patients mainly presented with 50-60 dB hearing loss. There was slightly reduced compliance in 29 cases (90%) and stapedial reflex were absent in 75% cases. Speech discrimination test was 100% in 90% of the patients. HRCT temporal bone was done in 3 cases and 2 showed thickening of foot plate of stapes. Stapedotomy was done in most of the patients (78.1%). Common problems encountered during operation was perilymph flooding (6.28%) and obliterated otosclerosis(6.28%) . Most common complication was injury to Chorda tympani nerve (9.37%).Improvement of hearing was in 28 patients (87.50%) and after surgery Air- Bone gap closure more than 10 dB was in 87% of patients. Most common prosthesis used was Teflon prosthesis. Conclusion: In general the stapedotomy/stapedectomy is very successful with over 90% of people experiencing a good improvement in hearing. Sometimes the hearing remains unchanged and there is a small (approx 1-2%) chance of hearing loss .Rarely there is chance of dead ear also. Hearing results vary from surgeon to surgeon. As with all operations the best results tend to be achieved by those who do the procedure most frequently.

Techniques and results of stapedial surgery