A stapedectomy is performed using general anesthesia.
During the operation, the surgeon inserts a miniature visualizer - a microscope, as well as microsurgical instruments into the auditory canal. Along the border of the tympanic membrane, an incision is made in a circle, the cut tissue flap is lifted. The doctor removes the stirrup and replaces it with a plastic bone implant. After connecting the auditory ossicles, the tissue flap returns to its place, tamponade the auditory canal using antibiotics. 
You can perform stapedectomy in another way: the surgeon makes an incision in the area of the patient's earlobe, removes the necessary element of adipose tissue from this area. Subsequently, it is placed in the middle ear to speed up engraftment.
Stapedectomy with stapedoplasty
There are several methods for performing stapedectomy with stapedoplasty, so it is optimal to choose a clinical institution whose specialists use different options for intervention - to select the most suitable one on an individual basis. This operation as a whole is a stirrup prosthetics: first, the implant is placed in relation to the most damaged ear, and after about six months the stapedoplasty is repeated, but on the other side.
The most widespread is the so-called piston stapedoplasty. This operation does not imply significant damage to the vestibule of the inner ear, so there is no risk of damage to nearby tissues.
Before installing the implant, the window is cleaned of mucous membranes and tissues damaged by sclerosis. This is not always necessary, but only when it is difficult for the surgeon to see the operated area.
With the help of a laser device, the doctor makes a hole, inserts an implant into it, strengthening it in its natural seat - this is a long anvil leg. The prognosis of the operation will be better if the surgeon makes the hole as small as possible: in this case, the tissues will tighten faster, and the rehabilitation period will be much easier and shorter.
Most often, stapedectomy and stapedoplasty are performed using a Teflon-cartilage implant. Loop elements are cut from the finished Teflon analogue, after which cartilaginous plates removed from the ear shell are inserted into the holes.
When using a cartilaginous autoprosthesis, engraftment and restoration is faster and cheaper.