1. |
Size and location of plaques |
Size and location of plaques may correlate with severity of CHL/air-bone gap |
2. |
Status of oval window |
Complete obliteration may require surgical drilling prior to prosthesis insertion |
3. |
Status of round window |
Obliteration may result in a poor result after stapedectomy |
4. |
Facial nerve canal |
Floppy facial nerve may complicate oval window surgery or render this impossible |
5. |
Concurrent middle ear pathology |
Inflammatory disease must be treated prior to surgery |
6. |
Ossicular chain integrity |
Ossicular fixation, fusion and fracture may compound CHL |
7. |
Sinus plate and jugular bulb |
Dehiscent jugular bulb may complicate surgery |
8. |
Inner ear pathology |
Congenital cochlear and inner ear anomalies may preclude surgery |
9. |
Opposite ear |
Disease is bilateral in 80-85 % cases, even in absence of symptoms |