Ossicular chain reconstruction: endoscopic or microscopic?
| Autor: | Enis Alpin Güneri, A Cakir Cetin |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Microsurgery Endoscope medicine.medical_treatment Hearing Loss Conductive Operative Time Surgical Wound Aftercare Ear Middle Audiometry Hearing Risk index medicine Humans Postoperative Period Ear Ossicles Retrospective Studies Ossicular chain Air conduction business.industry Endoscopy General Medicine Tympanoplasty Middle Aged medicine.disease Conductive hearing loss Surgery Ossicular Prosthesis medicine.anatomical_structure Ossicular Replacement Treatment Outcome Otorhinolaryngology Case-Control Studies Middle ear Female business Ossicular chain reconstruction |
| Zdroj: | The Journal of laryngology and otology. 134(12) |
| ISSN: | 1748-5460 0022-2151 |
| Popis: | ObjectiveTo compare the results of endoscopic and microscopic ossicular chain reconstruction surgery.MethodsPatients undergoing ossicular chain reconstruction surgery via an endoscopic (n = 31) or microscopic (n = 34) technique were analysed for age, gender, Middle Ear Risk Index, ossicular chain defect, incision type, ossicular chain reconstruction surgery material, mean air conduction threshold, air–bone gap, air–bone gap gain, word recognition score, mean operation duration and mean post-operative follow up.ResultsPost-operative air conduction, air–bone gap and word recognition score improved significantly in both groups (within-subject p < 0.001 for air conduction and air–bone gap, and 0.026 for word recognition score); differences between groups were not significant (between-subject p = 0.192 for air conduction, 0.102 for air–bone gap, and 0.709 for word recognition score). Other parameters were similar between groups, except for incision type. However, endoscopic ossicular chain reconstruction surgery was associated with a significantly shorter operation duration (p < 0.001).ConclusionEndoscopic ossicular chain reconstruction surgery can achieve comparable surgical and audiological outcomes to those of microscopic ossicular chain reconstruction surgery in a shorter time. |
| Databáze: | OpenAIRE |
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