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Two-handed endoscopic ear surgery: Feasibility for stapes surgery
Sabri Baki Eren1, Ömer Vural2, Remzi Dogan1
1Bezmialem Vakif University, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.
American Journal of Otolaryngology
|July 17, 2021
Summary
The two-handed endoscopic technique is feasible for stapes surgery, offering endoscopic benefits while overcoming one-handed limitations. This approach successfully reduced air bone gaps in patients undergoing this otologic procedure.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Endoscopic ear surgery is gaining prominence.
- Stapes surgery traditionally uses microscopic techniques.
Purpose of the Study:
- To assess the feasibility of a two-handed endoscopic technique for stapes surgery.
- To evaluate its effectiveness and safety compared to traditional methods.
Main Methods:
- Seven patients underwent two-handed endoscopic stapes surgery.
- Procedures were performed under hypotensive general anesthesia by a single surgeon.
- Preoperative and postoperative audiometric data and complications were recorded.
Main Results:
- Six of seven surgeries were fully endoscopic; one required conversion due to perilymph gusher.
- No intraoperative tympanic membrane injuries, facial nerve paresis, or sensorineural hearing loss occurred.
- Average air bone gap improved from 31.3 dB preoperatively to 9.6 dB postoperatively in fully endoscopic cases.
Conclusions:
- The two-handed endoscopic technique is a viable option for stapes surgery.
- It allows surgeons to leverage endoscopic advantages while mitigating drawbacks of one-handed approaches.
- This technique shows promise for improving outcomes in stapes surgery.
