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Endoscopic stapedotomy: classic versus reversal technique.

Waleed Moneir1, Yasser Wafeek Khafagy1, Nada Nagah Salem1

  • 1Department of Otolaryngology, Faculty of Medicine, Mansoura University, El-Gomhoria Street, Mansoura, Egypt.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|February 16, 2023
PubMed
Summary

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The impact of anatomical variations of chorda tympani nerve on taste outcome after endoscopic stapedotomy.

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Endoscopic classic and reversal stapedotomies show similar hearing outcomes and complication rates in otosclerosis patients. Further research with larger sample sizes is recommended for definitive conclusions.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Audiology

Background:

  • Otosclerosis is a common cause of conductive hearing loss.
  • Stapedotomy is a surgical procedure to restore hearing in otosclerosis patients.
  • Endoscopic techniques offer potential advantages in minimally invasive ear surgery.

Purpose of the Study:

  • To compare the efficacy and safety of endoscopic classic stapedotomy versus endoscopic reversal stapedotomy.
  • To evaluate hearing outcomes and surgical complications associated with both techniques.

Main Methods:

  • A prospective, single-blinded, randomized clinical study involving 60 otosclerosis patients.
  • Patients were divided into two groups (30 each): one undergoing endoscopic classic stapedotomy, the other endoscopic reversal stapedotomy.
Keywords:
ClassicEndoscopicReversalStapedotomy

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  • Hearing outcome and surgical complications were assessed and compared between the groups.

    • Main Results:

    • No statistically significant difference in hearing outcome was observed between the two groups.
    • Post-operative air-bone gap closure within 10 dB was achieved in 76.67% (classic) and 80% (reversal) of patients.
    • Surgical complication rates were also statistically similar between the endoscopic classic and reversal stapedotomy groups.

    Conclusions:

    • Endoscopic classic and reversal stapedotomies are comparable procedures for treating otosclerosis.
    • Both techniques demonstrate similar hearing results and safety profiles.
    • Further studies with larger sample sizes are warranted to confirm these findings.