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Endoscopic Stapes Surgery: A Comparison With Microscopic Surgery.

Rhona Sproat1, Constantina Yiannakis, Arunachalam Iyer

  • 1Department of Otolaryngology, Monklands Hospital, Airdrie, Scotland, UK.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|March 21, 2017
PubMed
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Fully endoscopic stapes surgery showed similar hearing outcomes and complication rates compared to microscopic stapes surgery. Endoscopic techniques reduced the need for chorda tympani manipulation and endaural incisions, suggesting potential benefits for otosclerosis treatment.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Audiological Outcomes

Background:

  • Stapes surgery is a common procedure for otosclerosis.
  • Traditional microscopic techniques have well-established outcomes.
  • Endoscopic visualization offers a potential alternative approach.

Purpose of the Study:

  • To compare audiological results and complication rates between fully endoscopic and microscopic stapes surgery.
  • To evaluate the safety and efficacy of endoscopic stapes surgery performed by a single surgeon.

Main Methods:

  • A retrospective study comparing 34 patients undergoing endoscopic stapes surgery with 47 patients undergoing microscopic stapes surgery.
  • Both groups underwent stapedotomy using standard approaches with either an endoscope or microscope for visualization.

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  • Pre- and postoperative audiometry and complication data were analyzed.

    • Main Results:

    • No significant difference in air-bone gap closure (79% in both groups) between endoscopic and microscopic stapes surgery.
    • Endoscopic surgery resulted in fewer intraoperative chorda tympani cuts (6% vs. 23%) and eliminated the need for endaural incisions.
    • No sensorineural hearing loss, vertigo, or facial nerve paresis were reported in either group.

    Conclusions:

    • Fully endoscopic stapes surgery demonstrates comparable audiological outcomes and complication rates to microscopic stapes surgery.
    • The endoscopic approach may offer advantages by reducing the need for certain intraoperative manipulations.
    • Larger studies with longer follow-up are needed to fully establish the long-term safety and effectiveness of endoscopic stapes surgery.