Endoscopic Management of Malleus Head Fixation in Revision Stapes Surgery
| Autor: | Ignacio Javier Fernandez, Livio Presutti, Matteo Fermi, Cecilia Botti |
|---|---|
| Přispěvatelé: | Fernandez I.J., Botti C., Fermi M., Presutti L. |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Hearing loss Malleus head fixation Endoscopic ear surgery Endoscopic management Stapes Surgery 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Audiometry Vertigo otorhinolaryngologic diseases medicine Humans Malleus 030223 otorhinolaryngology Endoscopic stapes surgery Retrospective Studies biology medicine.diagnostic_test business.industry medicine.disease biology.organism_classification Sensory Systems Stapes Revision stapes surgery Audiometry Pure-Tone Treatment Outcome Ossicular Prosthesis Otosclerosis Surgery Otorhinolaryngology Sensorineural hearing loss Neurology (clinical) Pure tone audiometry medicine.symptom business 030217 neurology & neurosurgery Pure-Tone |
| Zdroj: | Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 41(5) |
| ISSN: | 1537-4505 |
| Popis: | Objective Malleus ankylosis is an uncommon finding during stapes surgery, which can result in functional failure if undetected during primary surgery. Its management can be difficult and different approaches and solutions have been described to date, most of which require interruption of the ossicular chain. We report the management of such condition through a transcanal endoscopic technique, with preservation of ossicular chain integrity. Patients The procedure was carried out in a patient affected by otosclerosis with persistent hearing loss after primary stapes surgery. Intervention Surgical treatment of malleus head fixation through a totally endoscopic transcanal approach during revision stapes surgery. Main outcome measure Pure tone audiometry, speech audiometry. Results The patient experienced a complete closure of the air-bone gap. No postoperative vertigo or sensorineural hearing loss were observed. Conclusions The present report describes the transcanal endoscopic management of malleus ankylosis during revision stapes surgery, which has not been previously reported in the literature. Pearls related to this approach and advantages in comparison to previously described approaches of the literature are discussed as well. |
| Databáze: | OpenAIRE |
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