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Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
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Endoscopic stapedotomy: our view point.

Chetana Naik1, Sanjana Nemade2

  • 1Department of ENT, Smt. Kashibai Navale Medical College and General Hospital, Off. Sinhgad Road, Narhe, Pune, 411041, Maharashtra, India. drchetana71@yahoo.co.uk.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|December 28, 2014
PubMed
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Endoscopic stapedotomy, a surgical technique for otosclerosis, is feasible with a nasal endoscope. This method offers excellent visualization and good hearing results, overcoming perceived challenges.

Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery
  • Otology

Background:

  • Microscope use in stapedotomy is standard, but endoscope adoption faces resistance due to learning curves and one-handed technique fears.
  • Endoscopic ear surgery offers potential advantages in visualization and access.

Purpose of the Study:

  • To present a case series of endoscopic stapedotomies.
  • To analyze operative findings, including visualization, surgical steps, and outcomes.
  • To discuss the advantages and disadvantages of endoscopic stapedotomy.

Main Methods:

  • A case series of 20 patients with otosclerosis undergoing stapedotomy using a 0°, 4 mm nasal endoscope.
  • Analysis of visualization, surgical steps, operative time, hearing results, and complications.
Keywords:
Endoscopic stapedotomyNasal endoscopeOtosclerosisStapes surgery

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  • Pre- and post-operative audiometry at 6 weeks.

    • Main Results:

    • Successful endoscopic manipulation facilitated endomeatal incision and tympanome અflap elevation in all cases.
    • Optimal exposure of the incudo-stapedial joint (88.24%), crura (82.35%), and footplate (95%) was achieved.
    • Complete air-bone gap closure occurred in 55% of patients, with good overall hearing improvement.

    Conclusions:

    • Fully endoscopic stapedotomy using a nasal endoscope is a viable surgical option.
    • This technique provides excellent visualization and favorable hearing outcomes.
    • It addresses concerns regarding the learning curve and one-handed manipulation in stapedotomy.