Endoscopic vs microscopic approach in stapes surgery: advantages in the middle ear structures visualization and trainee's point of view
| Autor: | Diletta Angeletti, Giuseppe Magliulo, Dario Marcotullio, Vincenzo Falasca, Benedetta Pasquariello, Alessandra Manno, Massimo Re, Giannicola Iannella |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Tympanic Membrane stapes surgery Incus surgical education Ear Middle Otoscopy 03 medical and health sciences Otolaryngology 0302 clinical medicine Surveys and Questionnaires medicine Humans Prospective Studies 030223 otorhinolaryngology otosclerosis endoscopic stapes surgery middle ear Stapes Microscopy business.industry Oval window Internship and Residency General Medicine Stapes surgery Surgery Visualization Footplate Ossicular Prosthesis medicine.anatomical_structure Ossicular Replacement Treatment Outcome Otorhinolaryngology 030220 oncology & carcinogenesis Middle ear Female business |
| Popis: | Objective Comparing the endoscopic and microscopic approaches in stapes surgery, and establishing the surgical approach that allows better results in terms of visualization of the middle ear structures and aids assistant's training. Materials and methods Twenty-one residents from the first to the fifth year of training in Otolaryngology were enrolled in this prospective study. A questionnaire specifically designed to investigate the understanding of middle ear anatomy, the surgical steps, and a personal opinion about endoscopic stapes surgery was submitted to each resident. Results Statistical differences between the endoscopic and microscopic approaches were evident about identification of stapes and long process of the incus (p=0.03) and stapes footplate and the oval window (p=0.03). No substantial difference between the two surgical approaches emerged regarding the visualization of the tympanic membrane and the other middle ear structures (p>0.5). A substantial difference in favor of the endoscopic approach emerged regarding the identification of the hole creation in the footplate of the stapes. Conclusion Endoscopic stapes surgery could favor an easier understanding of the surgical technique for assistants in training with little knowledge of the anatomy and surgical steps. |
| Databáze: | OpenAIRE |
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