Stapedectomy can be used in certain patients with profound sensorineur
al hearing loss and stapes fixation to improve hearing to a level at w
hich a hearing aid may be effective. This study reviews the outcomes o
f 11 patients with profound cochlear loss secondary to otosclerosis wh
o underwent stapes surgery performed by the senior author (M.E.G.) ove
r a 25-year period. Postoperative hearing aid usage was effective in 9
of 11 patients. Preoperatively, these patients derived no benefits fr
om hearing aids. Stapedectomy may be of immense value in patients with
the proper history and profound cochlear loss.