Abstract
Many difficulties might be encountered during conventional stapes surgery. However, the good exposure provided by the endoscope can facilitate this procedure. The present study addresses the effectiveness of endoscopic stapes surgery with regard to the operation time and patients’ convenience and satisfaction. 19 patients underwent endoscopic stapes surgery without packing. 15 patients who experienced the microscopic stapes surgery served as the comparison group. Audiometric results and the patients’ satisfaction as measured by visual analog scale in both group were compared. Audiometric results were similar in both groups. Nevertheless, the endoscopic method was accompanied by shorter operation time and more comfort for the patients. Totally endoscopic stapes surgery can be done in much shorter time without major difficulties and without need to pack ear canal after surgery. Far less dissection and incision as well as patients' more satisfaction make this technique as a good alternative to the microscopic approach to stapes surgery.
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References
El-Begermy M (2003) Endoscopic-assisted stapedectomy. Int Congr Ser 1240:919–925
Poe DS (2000) Laser-assisted endoscopic stapedectomy: a prospective study. Laryngoscope 110(5 Pt 2 Suppl 95):1–37
Migirov L, Wolf M (2013) Endoscopic transcanal stapedotomy: how i do it. Eur Arch Otorhinolaryngol 270(4):1547–1549
Nogueira Júnior JF, Martins MJ, Aguiar CV, Pinheiro AI (2011) Fully endoscopic stapes surgery (stapedotomy): technique and preliminary results. Braz J Otorhinolaryngol 77(6):721–727
Sarkar S, Banerjee S, Chakravarty S, Singh R, Sikder B, Bera SP (2013) Endoscopic stapes surgery: our experience in thirty two patients. Clin Otolaryngol 38(2):157–160
Committee on Hearing and Equilibrium guidelines for the evaluation of results of treatment of conductive hearing loss. American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc. (1995) Otolaryngol Head Neck Surg 113:186–187
El-Begermy M, Badr Eldin BM, Raslan MG (2003) Trans-meatal endoscopic exposure of middle ear structures: potentials and limitations. Int Congr Ser 1240:907–917
Silverstein H, Hester TO, Rosenberg SI, Deems DA (1998) Preservation of the stapedius tendon in laser stapes surgery. Laryngoscope 108(10):1453–1458
Kojima H, Komori M, Chikazawa S, Yaguchi Y, Yamamoto K, Chujo K, Moriyama H (2014) Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 124(1):266–271
Brokelman RB, Haverkamp D, van Loon C, Hol A, van Kampen A, Veth R (2012) The validation of the visual analogue scale for patient satisfaction after total hip arthroplasty. Eur Orthop Traumatol 3(2):101–105
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It is of note that there is no conflict of interest and we have not received any funding support for this study. We have obtained informed consent from all of our patients to use their medical records.
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Daneshi, A., Jahandideh, H. Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 273, 631–634 (2016). https://doi.org/10.1007/s00405-015-3614-9
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DOI: https://doi.org/10.1007/s00405-015-3614-9