patients (as for 41603). Procedure to partially or fully replace stapes. Diseased part of stapes footplate is removed and replaced with a prosthesis which Otosclerosis is attached to incus restoring Congenital malformation of 41608 Stapedectomy continuity of ossicular CHL with air bone stapes movement. This enables sound gap of to be transmitted from eardrum Severe middle ear ≧30dB infections to inner ear. May be part of ossiculoplasty (repair or Previous middle ear surgery reconstruction of middle ear). Stapes Procedure to remobilise stapes 41611 mobilisation footplate. Round window surgery 41614 including repair Procedures may be used to: of cochleotomy correct a defect in round or oval window (or both) to Otosclerosis prevent perilymph fistula Trauma (head or ear) (PLF) from leaking from Oval window Perforated eardrum inner ear to middle ear. surgery CHL Ear block (plane descent or Using trans-canal approach, including repair MHL scuba diving) small soft tissue grafts are of fistula, not SNHL Rapid increase in cranial used to patch fistula. being a service pressure 41615 correct superior canal associated with a Superior canal dehiscence dehiscence syndrome by service to which syndrome reinforcing the round and any other item in oval windows fascia from a this Group post-auricular incision. applies.
patients (as for 41603). 41608 Stapedectomy Procedure to partially or fully replace stapes. Diseased part of stapes footplate is removed and replaced with a prosthesis which is attached to incus restoring continuity of ossicular movement. This enables sound to be transmitted from eardrum to inner ear. May be part of ossiculoplasty (repair or reconstruction of middle ear). CHL with air bone gap of ≧30dB Otosclerosis Congenital malformation of stapes Severe middle ear infections Previous middle ear surgery 41611 Stapes mobilisation Procedure to remobilise stapes footplate. 41614 Round window surgery including repair of cochleotomy Procedures may be used to: correct a defect in round or oval window (or both) to prevent perilymph fistula (PLF) from leaking from inner ear to middle ear. Using trans-canal approach, small soft tissue grafts are used to patch fistula. correct superior canal dehiscence syndrome by reinforcing the round and oval windows fascia from a post-auricular incision. CHL MHL SNHL Otosclerosis Trauma (head or ear) Perforated eardrum Ear block (plane descent or scuba diving) Rapid increase in cranial pressure Superior canal dehiscence syndrome 41615 Oval window surgery including repair of fistula, not being a service associated with a service to which any other item in this Group applies.
1364-MEIConductive-FinalProtocol-accessible.docx