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The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
[Effects of small fenestra stapedotomy in comparison with total stapedectomy]
Xing Yan1, Nan-ping Xie, Feng Lin
1Department of Otolaryngology, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China. yanxingstar@126.com
Objective:
To compare the effect of small fenestra stapedotomy and total stapedectomy in patients with otosclerosis.
Methods:
Twenty-seven patients (30 ears) undergoing small fenestra stapedotomy and 36 patients (43 ears) receiving total stapedectomy were compared for hearing results and complication rates.
Results:
No statistically significant differences were seen in postoperative speech pure tone average in closing air-bone gap between the two groups. The ears treated by small fenestra stapedotomy showed statistically better air-bone gap closure at high frequencies with lower rates of sensorineural hearing loss at high frequencies and milder dizziness.
Conclusion:
In spite of the successful hearing outcomes in both groups, small fenestra stapedotomy can achieve better results at high frequencies and reduce the incidence of complications.
