Microscopic otosclerosis surgery, Laser and microdrill stapedotomy, Nitinol Piston

Published April 2026

Abstract

This video presents a step-by-step demonstration of key surgical steps in otologic practice, enhanced by freeze frames, annotations, and structured captions.
Critical anatomical landmarks and risk zones are highlighted to improve understanding and safety.
Dynamic overlays illustrate optimal instrument trajectories and decision points.
The workflow combines precise video editing with external annotation for high-quality educational content.
This approach aims to standardize technique and reduce variability among surgeons.
It provides an efficient and accessible tool for training and continuing medical education in otology.

Surgical steps in this video

  1. 1 Oval window exposure
  2. 2 Foot plate exposure
  3. 3 Stapedotomy and piston placement
  4. 4 Closure : stapedotomy sealing and flap repositionning

Video details

Keywords

Conflicts of interest

none

References

Nguyen Y, et al, Diode laser in otosclerosis surgery: first clinical results. Otol Neurotol. 2008

Parra C, et al, Imaging Criteria to Predict Surgical Difficulties During Stapes Surgery. Otol Neurotol. 2017

Sheppard SC, et al, Clinical Results of Robot-assisted Versus Manual Otosclerosis Surgery. Otol Neurotol. 2026

Author

Yann Nguyen
1 Université Paris Cité, Institut Pasteur, AP-HP, Inserm, CNRS, Fondation Pour l'Audition, IHU reConnect, Technologies et thérapie génique pour la surdité, Paris, France. 2 AP-HP/Sorbonne Université, GHU Pitié-Salpêtrière, Service ORL & Implants auditifs, Paris, France., France
Member of the European Society: EAONO

https://www.linkedin.com/in/yannnguyen/