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Updated: May 17, 2026

The Microscopic Transcanal Approach in Stapes Surgery Revisited
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The Microscopic Transcanal Approach in Stapes Surgery Revisited

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Ear surgery without microscope; is it possible.

Satyawati Mohindra1, Naresh K Panda

  • 1Department of Otolaryngology, Head and Neck Surgery, PGIMER, Chandigarh, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|November 3, 2012
PubMed
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See all related articles

Endoscopic ear surgery using an endoscope demonstrated high success rates for grommet insertion, myringoplasty, and ossiculoplasty. This minimally invasive approach significantly improved hearing outcomes and resolved secretory otitis media in most patients.

Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Medical Technology

Background:

  • Microscopic otological surgery has been the standard for decades.
  • Endoscopes offer magnified, wide-field views for complex ear procedures.
  • Transcanal endoscopic ear surgery (TEES) is an emerging technique.

Purpose of the Study:

  • To present our experience with endoscope usage in otological surgery.
  • To evaluate the efficacy of TEES for common otological procedures.
  • To compare the advantages of endoscopic over microscopic approaches.

Main Methods:

  • Retrospective review of 17 secretory otitis media (SOM) grommet insertions, 49 myringoplasties, and 6 ossiculoplasties.
  • All procedures performed via transcanal endoscopic approach between May 2005 and 2008.
Keywords:
EndoscopeMicroscopeOtologic surgery

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  • Outcomes assessed by perforation closure rates, air-bone gap improvement, and SOM resolution.

    • Main Results:

    • High perforation closure rate of 91.5% in myringoplasty.
    • Significant average air-bone gap improvement: 22.24-12.28 dB (myringoplasty) and 27.5-13 dB (ossiculoplasty).
    • Successful resolution of secretory changes in 16 out of 17 SOM patients.

    Conclusions:

    • Transcanal endoscopic ear surgery is a safe and effective alternative to microscopic surgery.
    • Endoscopic techniques offer significant advantages in otological procedures.
    • TEES provides excellent outcomes for grommet insertion, myringoplasty, and ossiculoplasty.