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Updated: Aug 30, 2025

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Endoscopic Versus Microscopic Stapedotomy: Our Experience.

Hanumant S Giri1, Pooja D Nayak1, Madhuri Ravindra Giri2

  • 1Department of ENT, SMBT Institute of Medical Sciences and Research Centre, Dhamangaon, Nashik, India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|August 29, 2022
PubMed
Summary
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Endoscopic stapedotomy offers comparable hearing outcomes and complication rates to microscopic stapedotomy for otosclerosis treatment. Surgeons prefer the endoscopic approach due to superior visualization of middle ear structures.

Area of Science:

  • Otolaryngology
  • Surgical Technology
  • Medical Imaging

Background:

  • Technological advancements have improved endoscope resolution and acceptance in rhinology.
  • Endoscopes are increasingly used in otologic and neurotologic procedures, including endoscopic stapedotomy for otosclerosis.

Purpose of the Study:

  • To compare the merits and demerits of endoscopic stapedotomy versus microscopic stapedotomy.
  • To evaluate surgical outcomes, including duration, hearing improvement, and complications.

Main Methods:

  • Prospective observational study of 40 otosclerosis patients from January 2018 to January 2020.
  • Patients were randomly assigned to undergo either microscopic stapedotomy (Group A, n=20) or endoscopic stapedotomy (Group B, n=20) under local anesthesia.
  • Data collected included detailed history, ENT examination, audiological tests, and pre-anesthetic evaluation.
Keywords:
Endoscopic stapedotomyMicroscopic stapedotomyTeflon prosthesis

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Main Results:

  • No statistically significant difference was found between the two procedures regarding surgical duration, hearing improvement, or complication rates.
  • Surgeons reported enhanced visualization of middle ear structures and better image quality with the endoscopic technique.
  • Endoscopic stapedotomy demonstrated no increased risk of complications compared to the microscopic approach.

Conclusions:

  • Endoscopic stapedotomy is a safe alternative to microscopic stapedotomy for treating otosclerosis.
  • The endoscopic method provides superior visualization, potentially aiding surgical precision.
  • Hearing outcomes and safety profiles are equivalent between the two surgical techniques.