A Comparative Analysis of Microscopic and Endoscopic Stapedotomy: A Prospective Study

Area of Science:

• Otolaryngology
• Surgical Innovation
• Otology

Background:

• Otosclerosis is a common cause of conductive hearing loss.
• Stapedotomy is a surgical procedure to restore hearing in otosclerosis patients.
• Microscopic stapedotomy is the traditional approach.

Purpose of the Study:

• To compare the efficacy and outcomes of endoscopic stapedotomy versus microscopic stapedotomy.
• To evaluate differences in surgical approach, visualization, and postoperative recovery.

Main Methods:

• A randomized study included 20 otosclerosis patients undergoing stapedotomy.
• Patients were divided into two groups: microscopic stapedotomy (Group A) and endoscopic stapedotomy (Group B).
• Outcomes assessed included operative time, visualization, drilling extent, facial nerve manipulation, and postoperative pain, dizziness, and hearing loss.

Main Results:

• Endoscopic stapedotomy (Group B) offered better visualization of anatomical landmarks.
• Group B required minimal drilling and less manipulation of the facial nerve.
• Patients undergoing endoscopic stapedotomy reported less postoperative dizziness and pain.

Conclusions:

• Both microscopic and endoscopic stapedotomy are effective for otosclerosis.
• Endoscopic stapedotomy provides enhanced visualization, minimal drilling, and reduced postoperative complications.
• Endoscopic stapedotomy offers improved cosmetic results and patient comfort.