Endoscopic Stapes Surgery

Isaacson, Brandon; Hunter, Jacob B.; Rivas, Alejandro

doi:10.1016/j.otc.2017.11.011

Cited by 31 publications

(17 citation statements)

References 25 publications

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“…Each patient underwent transcanal totally endoscopic ear surgery (TEES) with the use of 0° and/or 30° endoscopes (100% and 33.3%, respectively). The endoscopic approach to the middle ear, including TM elevation, has been previously described . For revision stapes surgery, the integrity and mobility of the ossicular chain and prior prosthesis was first evaluated with palpation and visual inspection for bony erosion.…”

Section: Resultsmentioning

confidence: 99%

“…Patients underwent either stapedotomy or stapedectomy, which was dependent on the intraoperative findings, prior surgical history, and surgeon preference. The techniques for endoscopic stapedotomy and stapedectomy have been previously described . Patients who underwent laser stapedotomy received an Eclipse nitinol piston prosthesis (Grace Medical, Memphis, TN), whereas those who underwent a laser stapedectomy received a titanium notched bucket handle prosthesis (Grace Medical) in conjunction with a perichondrial graft to seal the oval window after partial or total removal of the stapes footplate.…”

Section: Methodsmentioning

confidence: 99%

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Audiologic and surgical outcomes in endoscopic revision stapes surgery

et al. 2019

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Audiologic and surgical outcomes in endoscopic revision stapes surgery

et al. 2019

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“…Stapes stapes surgery (stapedotomy and stapedectomy is commonly performed at all major otological and hearing restorative centers in the world. 2 Most centers under take this procedure with a microscope. 3 Endoscopes have evolved as a tool of safe and effective surgery in otological practice and surpass the microscope in middle ear procedures owing to better visualization of anatomy in the middle ear.…”

Section: Introductionmentioning

confidence: 99%

Total Endoscopic Stapes Surgery. Our Technique and Experience of 45 Cases

Najam

Sarwar

Raza

et al. 2021

PAFMJ

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Objective: To assess the hearing results of transcanal endoscopic stapedotomy Study Design: Descriptive study. Place and Duration of Study: Pakistan Naval Ship Hafeez Islamabad Pakistan, from Jun 2016 to Jun 2020. Methodology: All patients with surgically confirmed otosclerosis were included in the study. All patients were operated with 0-degree 3mm, 14cm rigid endoscope under general anesthesia. Preoperative and post operative air bone gap was noted along with demographic data, middle ear anomalies (persistent stapedial artery, dehiscent facial nerve, anteriorly placed facial nerve, floating foot plate) and injury to chorda tympani. Postoperative air bone gap (A-B Gap) was documented 12 weeks after surgery. All patients were followed up for 6-12 months Results: Mean age of patients was, 37 years and standard deviation was 12.34 (range 27-52 years). Out of total 45 cases 13 were males (29%) and 32 females (71.%). Four (8.8%) patients had dehiscent facial canal and 1 (2.2%) patient had persistent stapedial artery. Average preoperative A-B gap was 35 db and Average Postoperative A-B Gap was 7 db. Chorda tympani was preserved in all cases. One patient (2.2%) complained of altered taste which resolved after 3 months. Four patients had Postoperative vertigo that lasted 2 days on average. Conclusion: Endoscopic trans canal Stapes surgery is scarless safe effective procedure demonstrable hearing benefits in all patients with minimum complications. The Technique is single handed and has steep learning curve.

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“…Today, endoscopes are being used to address a multitude of diseases in otology ranging from a simple reconstruction of the perforated eardrum to cholesteatoma surgery and endoscopic resection of skull base tumors as far as the internal auditory meatus . Endoscopic stapedotomy for stapes fixation is now preferred by many otologic surgeons over the conventional microscope due to several advantages the endoscope offers over the microscope . However, endoscopic reconstruction of ossicular chain discontinuity is a relatively new domain, and much is yet to be unraveled about this technique.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic ossiculoplasty: Is there any edge over the microscopic technique?

et al. 2019

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Objectives/Hypothesis To compare endoscopic ossiculoplasty with conventional microscopic technique in terms of postoperative hearing outcomes and complications. Study Design Randomized controlled trial. Methods One hundred eighteen patients diagnosed with ossicular chain discontinuity were randomly assigned into two groups, one undergoing endoscopic ossiculoplasty and the other undergoing ossiculoplasty by the microscopic technique, with the operating surgeon being same for both groups. The two groups were compared in terms of operative time, postoperative air‐bone gap, mean air‐bone gap closure, and incidence of complications. Teflon prostheses (partial ossicular chain replacement prosthesis [PORP] and total ossicular chain replacement prosthesis [TORP]) were used for reconstruction in all cases. Results Endoscopic ossiculoplasty with PORP rendered a statistically significant mean postoperative air‐bone gap and air‐bone gap closure at 1 month when compared to that of microscopic PORP ossiculoplasty. However, there was no significant difference between the two techniques in terms of mean postoperative air‐bone gap and air‐bone gap closure at 3 and 6 months. In the TORP ossiculoplasty cases, there was no significant difference in mean postoperative air‐bone gap and air‐bone gap closure at 1, 3, and 6 months. In terms of operative time and incidence of complications, no statistical significance was found between the two groups. Conclusions Endoscopic ossiculoplasty appears to provide superior visualization and better early audiological outcome (in PORP ossiculoplasty cases) when compared to microscopic technique. However, long‐term audiological outcomes and incidence of complications remain comparable. Level of Evidence 1 Laryngoscope, 130:797–802, 2020

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Endoscopic Stapes Surgery

Cited by 31 publications

References 25 publications

Audiologic and surgical outcomes in endoscopic revision stapes surgery

Audiologic and surgical outcomes in endoscopic revision stapes surgery

Total Endoscopic Stapes Surgery. Our Technique and Experience of 45 Cases

Endoscopic ossiculoplasty: Is there any edge over the microscopic technique?

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