Abstract
Purpose of Review
To review contemporary literature on audiometric and functional outcomes of endoscopic ossicular chain reconstruction (OCR) and to contrast this with outcomes using traditional microscopic OCR.
Recent Findings
Audiometric outcomes of endoscopic OCR (including benchmark outcome of percentage of cases with air-bone gap (ABG) closure to < 20 dB) are similar compared with the traditional microscopic approach for ossiculoplasty. There are no significant differences in operative time or outcomes of primary versus staged ossiculoplasty.
Summary
Endoscopic ossiculoplasty appears to be non-inferior to traditional microscopic approach in terms of audiometric success. Based on available data, perioperative complications and need for revision surgery are infrequent.
Similar content being viewed by others
References
Miller KA, Fina M, Lee DJ. Principles of pediatric endoscopic ear surgery. Otolaryngol Clin N Am. 2019. https://doi.org/10.1016/j.otc.2019.06.001.
Kiringoda R, Kozin ED, Lee DJ. Outcomes in endoscopic ear surgery. Otolaryngol Clin N Am. 2016;49(5):1271–90. https://doi.org/10.1016/j.otc.2016.05.008.
Anschuetz L, Presutti L, Marchioni D, Bonali M, Wimmer W, Villari D, et al. Discovering middle ear anatomy by transcanal endoscopic ear surgery: a dissection manual. J Vis Exp. 2018;131. https://doi.org/10.3791/56390.
Zhu VF, Kou YF, Lee KH, Kutz JW Jr, Isaacson B. Transcanal endoscopic ear surgery for the management of congenital ossicular fixation. Otol Neurotol. 2016;37(8):1071–6. https://doi.org/10.1097/MAO.0000000000001154.
Tarabichi M, Marchioni D, Presutti L, Nogueira JF, Pothier D. Endoscopic transcanal ear anatomy and dissection. Otolaryngol Clin N Am. 2013;46(2):131–54. https://doi.org/10.1016/j.otc.2013.02.001.
Potsangbam DS, Akoijam BA. Endoscopic transcanal autologous cartilage ossiculoplasty. Indian J Otolaryngol Head Neck Surg. 2019;71(1):54–9. https://doi.org/10.1007/s12070-018-1518-x.
Iannella G, De Vincentiis M, Greco A, Vicini C, De Vito A, Meccariello G, et al. Endoscopic approach in second stage ossicular chain reconstruction. Am J Otolaryngol. 2019. https://doi.org/10.1016/j.amjoto.2019.07.004.
Yawn RJ, Hunter JB, O’Connell BP, Wanna GB, Killeen DE, Wick CC, et al. Audiometric outcomes following endoscopic ossicular chain reconstruction. Otol Neurotol. 2017;38(9):1296–300. https://doi.org/10.1097/MAO.0000000000001527.
Carter JM, Hoff SR. Endoscopic middle ear exploration in pediatric patients with conductive hearing loss. Int J Pediatr Otorhinolaryngol. 2017;96:21–4. https://doi.org/10.1016/j.ijporl.2017.02.017.
Baker AB, O’Connell BP, Nguyen SA, Lambert PR. Ossiculoplasty with titanium prostheses in patients with intact stapes: comparison of TORP versus PORP. Otol Neurotol. 2015;36(10):1676–82. https://doi.org/10.1097/MAO.0000000000000893.
Dornhoffer JL, Gardner E. Prognostic factors in ossiculoplasty: a statistical staging system. Otol Neurotol. 2001;22(3):299–304.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Alejandro Rivas is a consultant for Advanced Bionics, Cochlear Corporation, Med-El, Cook Medical, Grace Medical.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
This article is part of the Topical Collection on Ossicular Chain Reconstruction
Rights and permissions
About this article
Cite this article
Manzoor, N.F., Nassiri, A.M. & Rivas, A. Endoscopic Ossiculoplasty. Curr Otorhinolaryngol Rep 7, 244–247 (2019). https://doi.org/10.1007/s40136-019-00252-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40136-019-00252-y