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Discovering Middle Ear Anatomy by Transcanal Endoscopic Ear Surgery: A Dissection Manual
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Complications in Endoscopic Ear Surgery.

Daniele Marchioni1, Alessia Rubini1, Luca Gazzini1

  • 1Otorhinolaryngology-Head and Neck Surgery Department, University Hospital of Verona, Piazzale Aristide Stefani, Verona.

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PubMed
Summary
This summary is machine-generated.

Endoscopic ear surgery (EES) demonstrates a low complication rate, confirming its safety and reliability. This study highlights EES as a viable option for various ear conditions, including tympanoplasties and stapedoplasties.

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Patient Safety

Background:

  • Endoscopic ear surgery (EES) is an evolving minimally invasive technique.
  • Assessing the complication rates of EES is crucial for its widespread adoption.
  • Previous data on EES morbidity may vary across different surgical centers.

Purpose of the Study:

  • To evaluate the intraoperative and postoperative complication rates associated with endoscopic ear surgery (EES).
  • To determine the safety and reliability of EES for various otologic procedures.
  • To provide comparative data on EES morbidity for other institutions.

Main Methods:

  • Retrospective review of 825 patients undergoing exclusive EES between 2008 and 2016 at two tertiary referral centers.
  • Procedures included tympanoplasties, myringoplasties, stapedoplasties, and others.
  • Evaluation of intraoperative, early, and delayed postoperative complications.

Main Results:

  • No major intraoperative complications (e.g., dural or vascular injury) were reported.
  • Minor intraoperative complications occurred in 4.1% of cases.
  • Early postoperative complications affected 1.3% of patients, and delayed complications affected less than 1%.

Conclusions:

  • Endoscopic ear surgery (EES) is associated with very low complication rates, confirming its safety.
  • EES is a reliable therapeutic option for tympanoplasties, myringoplasties, stapedoplasties, and second look procedures.
  • This study contributes valuable morbidity data for EES to facilitate comparison with other centers.