Stapes malformations: the contribute of the endoscopy for diagnosis and surgery

Marchioni, Daniele; Soloperto, Davide; Villari, Domenico; Tatti, Maria Fatima; Colleselli, Elena; Genovese, Elisabetta; Presutti, Livio

doi:10.1007/s00405-015-3743-1

Cited by 50 publications

(38 citation statements)

References 16 publications

(12 reference statements)

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“…Of the 160 articles identified in the primary search strategy, 135 were excluded due to non‐English language (n = 5), individuals under 18 years (n = 1), and studies completely unrelated to endoscopic stapes surgery (n = 140). After the above screening process, the total number of articles qualified for review was 14 (Table ) . Four of these were level III, and 10 were level IV evidence.…”

Section: Resultsmentioning

confidence: 99%

“…In one study reviewing endoscopic stapedioplasty in comparison to stapedectomy, cases of stapedioplasty were removed from the analysis . Additionally, where mixed adult and pediatric cases (<16 years old) were included, the pediatric group was excluded from our pooled analysis . In total, a pooled patient population of 314 adults was eligible for analysis with respect to published outcomes of endoscopic stapes surgery.…”

Section: Resultsmentioning

confidence: 99%

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Total endoscopic stapes surgery: Systematic review and pooled analysis of audiological outcomes

2019

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Objective: This study evaluates the current evidence base for total endoscopic stapes surgery, specifically to establish current efficacy and safety of the technique within clinical practice.Data Sources: A systematic review of the literature on endoscopic stapes surgery was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist. A comprehensive search of PubMed, Embase, and the Cochrane Central Register of Controlled Trials database for relevant publications for all available dates with appropriate Medical Subject Headings search criteria in January 2018.Study Selection: Out of the 160 articles identified in the search, 14 met the inclusion criteria for further analysis. Four of these were level III and 10 level IV evidence.Data Extraction: A pooled patient population of 314 individuals was analyzed. Data Synthesis: Documented postoperative air bone gap closure to within 20 dB was found in 95.3% of individuals (285 patients). Facial nerve palsy (temporary) occurred in three patients (0.6%), with all recovering. No total sensorineural hearing losses were recorded, but two moderate sensorineural hearing losses occurred (0.6%). Perilymph fistula was noted on four occasions (1.3%). Chorda tympani trauma was documented in 3.5% of cases, with taste disturbance documented in 13 patients (5%).Conclusions: Our pooled analysis uses the current published evidence to establish the complication rate and audiological outcome for the endoscopic approach to stapes surgery. These outcomes are comparable to those documented in traditional use of the microscope for stapedectomy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Total endoscopic stapes surgery: Systematic review and pooled analysis of audiological outcomes

2019

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“…For a successful ossiculoplasty, the correct placement of the prosthesis is essential so as to maximize the acoustic benefit . The center of the mass of the prosthesis should be perpendicular to the stapes footplate for the resultant vector to be in line with the direction of sound transmission.…”

Section: Discussionmentioning

confidence: 99%

“…8 For a successful ossiculoplasty, the correct placement of the prosthesis is essential so as to maximize the acoustic benefit. 9 The center of the mass of the prosthesis should be perpendicular to the stapes footplate for the resultant vector to be in line with the direction of sound transmission. This is better achieved when the prosthesis is placed at the precise location for the effective transmission of the acoustic forces, and this is possible when the working area can be visualized clearly, as in the endoscopic technique.…”

Section: Discussionmentioning

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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“…Primary indications for endoscopic ear surgery include cholesteatoma removal and myringoplasty [7,8]. And application of endoscopic ear surgery gradually expands to stapes surgery, middle ear tumors or retrocochlear lesions [9,10] ( Table 1).…”

Section: Endoscopic Ear Surgerymentioning

confidence: 99%