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Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
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Microscopic vs Endoscopic Ear Surgery for Congenital Ossicular Anomaly
Jaein Chung1, Jae-Yoon Kang1, Min-Su Kim1
1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chungnam National University, Daejeon, South Korea.
Summary
Transcanal endoscopic ear surgery (TEES) for congenital ossicular anomalies offers similar hearing improvement and safety compared to microscopic surgery. This endoscopic approach also demonstrated significantly shorter operation times.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Auditory Reconstruction
Background:
- Congenital ossicular anomalies present challenges in surgical correction.
- Conventional microscopic surgery is the established method for ossiculoplasty and stapes surgery.
- Evaluating minimally invasive endoscopic techniques is crucial for advancing otologic surgery.
Purpose of the Study:
- To compare the surgical outcomes of transcanal endoscopic ear surgery (TEES) with conventional microscopic surgery for congenital ossicular anomalies.
- To assess audiometric results, operation time, and complication rates between the two surgical approaches.
Main Methods:
- Retrospective case review of 42 ears in 40 patients with congenital ossicular anomaly.
- Patients underwent either TEES or conventional microscopic surgery for ossiculoplasty or stapes surgery.
- Comparison of preoperative/postoperative air-bone gaps, operation duration, and complications.
Main Results:
- No statistically significant difference in preoperative or postoperative air-bone gaps between TEES and microscopic groups.
- TEES group had a significantly shorter average operation time (24.6 minutes less).
- Comparable complication incidence and no need for approach switch in the TEES group.
Conclusions:
- Transcanal endoscopic ear surgery (TEES) provides comparable audiometric outcomes and safety to microscopic surgery for congenital ossicular anomalies.
- TEES offers a significant advantage in reduced operation time.
- Endoscopic techniques represent a viable and potentially more efficient alternative in otologic reconstruction.
