UPDATE OF REPARATIVE GRANULOMA - SURVEY OF THE AMERICAN-OTOLOGIC-SOCIETY AND THE AMERICAN-NEUROTOLOGY-SOCIETY

Members of the American Otological Society and the American Neurotolog y Society were polled regarding stapes surgery and reparative granulom a. Of 467 questionnaires, 176 (38%) were returned, and 319,410 stapes cases were statistically analyzed: 329 reparative granulomas were repo rted after stapedectomy (incidence = 0.1%) and 29 after stapedotomy (i ncidence = 0.07%); 77 surgeons reported having encountered at least on e reparative granuloma; and 50 surgeons related the occurrence of a re parative granuloma to a specific graft material. Gelfoam was the most common graft material reported when a reparative granuloma was encount ered, followed by fat, and vertigo was the most frequently reported pr esenting symptom. Reported operative techniques as well as manifestati ons, management, and outcome are discussed.