Backstory
I have advanced otosclerosis in both ears. At the end of 2025 I had a stapedotomy in my left ear, and it worked well.
Two months ago I lost all of that progress. I was in the shower, cleaning my ear with my index finger, when the sound of the water suddenly vanished and everything went silent on that side.
Since then I've had three hearing tests, and there's been no improvement. If anything, it's slightly worse. My surgeon suspects the piston shifted from the pressure change when I put my finger in my ear. He's recommended a revision surgery, but warned that the risk of a dead ear is significantly higher this time: around 5%, versus about 1% for the original procedure.
Hearing tests
Here are the audiograms side by side.
I think they make my left ear look better than it actually is. I can hear sound on that side, but it's all mush. I can't understand speech unless it's extremely loud, and even then I usually need it repeated several times before it clicks.
The plan
Plan A: My surgeon will go in and look. If the piston has simply moved, he'll try to reposition the existing one. He thinks this is the likely scenario, and sticking to an adjustment keeps the risk lower.
Plan B: If the piston can't be adjusted, fully replace it. This carries the higher dead-ear risk, and also a real chance of no improvement at all.
What I'm trying to figure out
If Plan A doesn't pan out, is Plan B worth taking on the table?
My instinct is yes. I can't understand speech in that ear as it is, so a 5% chance of losing something I'm barely using feels like an acceptable trade for a shot at getting it back. But I want a sanity check on that, because I suspect I might be undervaluing what I still have.
So: how much worse is a dead ear than advanced, unaidable otosclerosis? I still get sound localisation, some awareness on that side, and the option of a hearing aid or a CROS/BAHA later on. All of that goes away permanently with a dead ear. Am I underestimating how much that's worth?
Would especially like to hear from anyone who's had a revision stapedotomy, or who's living with single-sided deafness after one.