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Endoscopic Stapes Surgery: A Comparison With Microscopic Surgery

Sproat, Rhona ; Yiannakis, Constantina ; Iyer, Arunachalam

Otology & neurotology, 2017-06, Vol.38 (5), p.662-666 [Periódico revisado por pares]

United States: Copyright by Otology & Neurotology, Inc. Image copyright Wolters Kluwer Health/Anatomical Chart Company

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  • Título:
    Endoscopic Stapes Surgery: A Comparison With Microscopic Surgery
  • Autor: Sproat, Rhona ; Yiannakis, Constantina ; Iyer, Arunachalam
  • Assuntos: Adult ; Aged ; Endoscopy - adverse effects ; Endoscopy - methods ; Female ; Humans ; Microsurgery - adverse effects ; Microsurgery - methods ; Middle Aged ; Otosclerosis - surgery ; Retrospective Studies ; Stapes Surgery - adverse effects ; Stapes Surgery - methods ; Treatment Outcome
  • É parte de: Otology & neurotology, 2017-06, Vol.38 (5), p.662-666
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: OBJECTIVE:To investigate postoperative audiological outcomes and complication rates for fully endoscopic and microscopic stapes surgery carried out by a single surgeon in one center. PATIENTS:All patients having undergone endoscopic and non-endoscopic stapes surgery for otosclerosis from September 2009 to August 2016 under a single surgeon. INTERVENTION(S):Stapedotomy using either an operating microscope or endoscope for visualization. Stapedotomy was carried out using a standard approach. MAIN OUTCOME MEASURE(S):Pre- and postoperative audiometry and complications. RESULTS:Thirty-four patients who underwent endoscopic stapes surgery and 47 patients who underwent non-endoscopic stapes surgery were included in this study. Seventy-nine percent of both endoscopic and non-endoscopic groups had the average air-bone gap closed to less than 10 dBHL, respectively; the difference was not significant (p = 0.940, χ test). No patients with sensorineural hearing loss, vertigo, or facial nerve paresis were reported. Two of 34 patients (6%) of the endoscopic group had the chorda tympani cut intraoperatively for access compared with 11 of 47 patients (23%) of the non-endoscopic group. Sixteen of 47 patients (34%) required an endaural incision for access in the non-endoscopic group; no endaural incisions were made in the endoscopic group. CONCLUSION:Air-bone gap closure and patient complications did not vary significantly between endoscopic and non-endoscopic groups in this study of 34 endoscopic procedures. There is a requirement for further studies with larger sample sizes and longer follow-up periods to fully gauge the safety and effectiveness of this technique.
  • Editor: United States: Copyright by Otology & Neurotology, Inc. Image copyright Wolters Kluwer Health/Anatomical Chart Company
  • Idioma: Inglês
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