Endoscopic Stapes Surgery: A Comparison With Microscopic Surgery
| Autor: | Constantina Yiannakis, Rhona Sproat, Arunachalam Iyer |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Microsurgery Endoscope Stapes Surgery 03 medical and health sciences 0302 clinical medicine Vertigo medicine Humans 030223 otorhinolaryngology Aged Retrospective Studies biology medicine.diagnostic_test business.industry Endoscopy Middle Aged medicine.disease biology.organism_classification Sensory Systems Stapes surgery Surgery Otosclerosis Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Sensorineural hearing loss Female Neurology (clinical) Audiometry Operating microscope business Complication |
| Zdroj: | Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 38(5) |
| ISSN: | 1537-4505 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|