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Updated: Mar 18, 2026

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Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
Published on: March 5, 2022
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Endoscopic transcanal stapes surgery: our technique and outcomes
Engin Dursun1, Abdulkadir Özgür, Suat Terzi
1Department of Otolaryngology, Medical Faculty of Recep Tayyip Erdoğan University, 53200 Rize, Turkey.
Summary
Endoscopic stapes surgery significantly improves hearing by reducing the air-bone gap. This study demonstrates that endoscopy is a safe and effective method for stapes surgery with minimal complications.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
Background:
- Otosclerosis is a condition affecting the stapes bone, leading to hearing loss.
- Traditional stapes surgery involves open incisions, potentially increasing risks and recovery time.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic stapes surgery.
- To assess hearing outcomes and complication rates associated with the endoscopic approach.
Main Methods:
- Retrospective analysis of 31 patients undergoing endoscopic stapes surgery.
- Evaluation of preoperative and postoperative pure tone bone conduction and air-bone gap measurements.
- Assessment of surgical duration and complication incidence.
Main Results:
- A statistically significant improvement in the mean postoperative air-bone gap was observed (p<0.001).
- The average air-bone gap gain achieved was 25.5±7.0 dB.
- No major complications were reported during the study period.
Conclusions:
- Endoscopic stapes surgery is a safe and effective procedure for treating hearing loss.
- The endoscopic approach offers comparable or improved outcomes to traditional methods with potential benefits in recovery.

