Surgery of Stapes Fixations

Istvan Sziklai received MD degree (1978) in Szeged (Medical University of Szeged), Hungary and PhD degree (1986) in Budapest, Hungary (Semmelweis Medical University). The PhD thesis was entitled: "Etiopathogenesis of the sensorineural hearing loss in Otosclerosis." Twenty five years co-working with Otto Ribári, department head in Szeged and Budapest, oriented him to surgery and research of stapes fixations. The surgical toolkit was further refined by Jean-Marc Sterkers in Paris and by Richard Wiet in Hinsdale, Illinois where he was a visiting fellow. Research fellow in Paris (Université Paris VII) with Claude Amiel and Olivier Sterkers in 1986-88. Hugh Knowles visiting Professor of Audiology in Evanston, IL, USA between 1990 and 1992 (Northwestern University, Auditory Physiology Laboratory) with Peter Dallos. Clinical director in Debrecen University, Department of Otorhinolaryngology and Head and Neck Surgery between 1997 and 2012. General Secretary of the Confederation of European Otorhinolaryngology and Head and Neck Surgery (CE ORL HNS). Editor-in-Chief of the Hungarian Otorhinolaryngology. Editorial Board member in Audiology & Neurotology, European Archives of Otorhinolaryngology and Head & Neck Surgery, Acta Otolaryngologica.

History of stapes surgery.- Heterogeneity of stapes fixations.- Preoperative examinations before surgery of stapes fixations. The role of CT in the diagnostics.- Stapedectomy.- Laser stapedotomy.- Surgery of congenital stapes fixation.- Intraoperative complications in stapedectomy/stapedotomy.- Endoscopic stapes surgery.- Robot assisted surgery of stapes fixations.- Middle ear implantation in stapes fixation.- Cochlear implantation and auditory brainstem implantation in advanced otosclerosis.- Piston design for reconstruction of the ossicular chain.- Revision stapes surgery.- Outcome measures after stapes surgery.