- General information
- Removal of diseased portion of stapes and replacement with a prosthesis to conduct vibrations from the middle ear to inner ear; usually performed under local anesthesia
- Used to treat otosclerosis
- Nursing interventions: preoperative
- Provide general pre-op nursing care, including an explanation of post-op expectations.
- Explain to the client that hearing may improve during surgery and then decrease due to edema and packing.
- Nursing interventions: postoperative
- Position the client according to the surgeon's orders (possibly with operative ear uppermost to prevent displacement of the graft).
- Have client deep breathe every 2 hours while in bed, but no coughing.
- Elevate side rails; assist the client with ambulation and move slowly (may have some vertigo).
- Administer medications as ordered: analgesics, antibiotics, antiemetics, anti-motion-sickness drugs.
- Check dressings frequently for excessive drainage or bleeding.
- Assess facial nerve function, i.e., ask client to wrinkle forehead, close eyelids, puff out cheeks, smile and show teeth; check for any asymmetry.
- Question client about pain, headache, vertigo, and unusual sensations in the ear; report existence to physician.
- Provide client teaching and discharge planning concerning
- Warnings against blowing nose or coughing; sneeze with the mouth open
- Need to keep ear dry in the shower; no shampooing until allowed
- No flying for 6 months, especially if an upper respiratory tract infection is present
- Placement of cotton ball in auditory meatus after packing is removed; change twice a day.
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