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Updated: Oct 28, 2025

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Endoscopic Stapedotomy: A Systematic Review.

Emma E Hoskison1, Elizabeth Harrop1, Nicholas Jufas2,3,4

  • 1Department of Otolaryngology Head and Neck Surgery, Royal Prince Alfred Hospital.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|July 16, 2021
PubMed
Summary
This summary is machine-generated.

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Endoscopic stapes surgery shows comparable hearing results to microscopic methods but has higher complication rates. Further research is needed to determine if endoscopic techniques are superior for stapes surgery.

Area of Science:

  • Otolaryngology
  • Minimally Invasive Surgery

Background:

  • Stapes surgery, crucial for hearing restoration, has traditionally relied on microscopic techniques.
  • Endoscopic ear surgery offers a novel approach with enhanced visualization of the stapes and surrounding structures.

Purpose of the Study:

  • To systematically review and critically analyze published data on endoscopic stapes surgery.
  • To compare the outcomes and complications of endoscopic stapes surgery with the established microscopic technique.

Main Methods:

  • A systematic review of six databases (PubMed, Medline, Cochrane, AMED, EMBASE, CINAHL) was conducted for studies published within the last 10 years.
  • Included studies were in English and involved 5 or more cases, focusing on audiological results and complications.
  • Data extraction followed PRISMA guidelines.

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Main Results:

  • Thirteen papers reported on 361 endoscopic stapes surgeries.
  • Audiometric outcomes showed air-bone gap closure <20 dB in 97.3% of cases.
  • Complications included temporary facial nerve weakness (0.8%), chorda tympani injury (5.8%), and vertigo (16.9%).

Conclusions:

  • Endoscopic stapes surgery demonstrates similar audiological success to microscopic approaches.
  • Higher rates of chorda tympani damage, dysgeusia, and tympanic membrane perforation are associated with the endoscopic technique.
  • Caution is advised with endoscopic stapes surgery, and further studies are needed to establish its superiority over microsurgical methods.