Stapedectomy removes the entire stapes bone and its footplate to restore hearing. Stapedotomy is a refined, less invasive alternative where surgeons use lasers or drills to create a small precise hole in the footplate rather than removing it entirely.
- Surgical approach: Stapedectomy removes the full footplate. Stapedotomy creates a tiny hole.
- Tools used: Stapedotomy frequently utilizes high-precision CO2 lasers or microdrills.
- Hearing outcomes: Stapedotomy generally delivers superior high-frequency hearing results over time.
- Risk profile: Stapedotomy carries lower risks of vertigo and sensorineural hearing loss.
Bookimed Expert Insight: While stapedotomy is the modern standard, surgeons at top Thai centers like Bumrungrad International Hospital maintain agility. They may switch to a stapedectomy mid-surgery if the footplate is too thick. Our data shows these JCI-accredited facilities offer this precision for $3,200, significantly lower than the US average of $15,000.
Patient Consensus: Patients find stapedotomy feels safer and allows for a faster recovery. They emphasize choosing experienced surgeons who perform over 50 ear procedures annually to ensure the best stability.