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The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
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A comparison between endoscopic and microscopic approaches for stapes surgery: a systematic review
H F Pauna1, R C Pereira2, R C Monsanto3
1Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School / University of São Paulo, Brazil.
The Journal of Laryngology and Otology
|April 21, 2020
Summary
Endoscopic stapes surgery offers comparable hearing results to traditional microscopic methods. This minimally invasive technique provides excellent visualization, reduced surgery time, and fewer complications for otologic procedures.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
Background:
- Stapes surgery is a common procedure for hearing loss.
- Traditional microscopic approaches have been the standard of care.
Purpose of the Study:
- To evaluate surgical techniques, approaches, audiological outcomes, and complications of endoscopic stapes surgery.
- Compare endoscopic stapes surgery with traditional microscopic techniques.
Main Methods:
- Systematic literature review of PubMed, Web of Science, and Scopus.
- Included studies reporting objective post-operative hearing outcomes for endoscopic stapes surgery.
- Extracted data on surgery duration, complications, technique, and audiometric results.
Main Results:
- Fourteen studies involving 282 ears were analyzed.
- Endoscopic stapes surgery provides adequate visualization for less invasive procedures.
- Audiological outcomes appear equivalent to microscopic approaches.
- Reduced surgery time and need for drilling were observed.
Conclusions:
- Endoscopic stapes surgery demonstrates comparable surgical and functional advantages to microscopic surgery.
- The technique offers a viable, minimally invasive alternative for stapes procedures.
