Endoscopic Stapes Surgery: A Comparison With Microscopic Surgery

Sproat, Rhona; Yiannakis, Constantina; Iyer, Arunachalam

doi:10.1097/mao.0000000000001371

Cited by 50 publications

(36 citation statements)

References 16 publications

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“…Overall, our results regarding preoperative to postoperative ABG changes are similar to those reported in previous studies addressing audiometric results after stapedotomy (12,13). The literature also indicates intraoperative complication rates of 0 to 6% and postoperative complication rates ranging from1 to 10%, similar to those reported in the present study (14,15).…”

Section: Discussionsupporting

confidence: 91%

Predictive Patient Factors for Poor Outcomes Following Stapedotomy for Otosclerosis

Patel¹,

Benyo²,

Saadi

et al. 2022

Otology &Amp; Neurotology

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ObjectiveTo assess patient-related risk factors associated with poor outcomes following stapedotomy for otosclerosis.Study DesignRetrospective study.SettingAcademic tertiary care center.MethodsRetrospective chart review of 107 patients with otosclerosis who underwent stapedotomy between 2013 and 2020. Demographics, comorbidities, and smoking history were obtained. Preoperative and postoperative audiogram data, including air-bone gap (ABG), and complications were collected. Data were analyzed using t test and Fischer’s exact test for continuous and categorical variables, respectively.ResultsAmong 107 patients, 29.5% were smokers and 70.1% non-smokers. Overall, the average ABG-gain 3-months postoperatively was 20.2 dB, and intraoperative and postoperative complications were 3.74 and 13.1%, respectively. Those with a history of otologic procedures had a lower mean ABG gain at 3 months compared with those without previous otologic surgery (14.4 dB versus 20.4 dB, p = 0.018). The average ABG gain at 3-months was not significantly different between those with current, former, or no smoking history, respectively (13.5 versus 18.1 versus 20.6, p = 0.08). Current smokers had 4.5 times greater odds of complications compared with non-smokers, although not statistically significant (95% CI 0.9–22.8, p = 0.1912).ConclusionAge and history of otologic procedures as independent risk factors did impact hearing outcomes among our patient cohort; however, smoking history did not. Future prospective studies are required to further investigate complication rates by various modifiable risk factors, such as smoking status, body mass index (BMI), and obstructive sleep apnea (OSA) with continuous positive airway pressure (CPAP) use, for stapedotomy surgeries.

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Section: Discussionsupporting

confidence: 91%

Predictive Patient Factors for Poor Outcomes Following Stapedotomy for Otosclerosis

Patel¹,

Benyo²,

Saadi

et al. 2022

Otology &Amp; Neurotology

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“…However, for tympanoplasty and stapes surgery, a comparison to available literature using GBI in microsurgery suggested similar or superior QoL measures amongst the cohort of patients from this study who underwent endoscopic ear surgery . The outcomes of endoscopic stapes surgery in our series of patients have been established by Sproat et al (2017), 80% of both endoscopic and non‐endoscopic groups had the average ABG closed to less than 10dB and there were no significant differences between the groups ( P −.940). The preliminary outcomes of TEES in our centre was also published recently and were comparable to results with microsurgery in the literature …”

Section: Discussionsupporting

confidence: 67%

Endoscopic ear surgery: Does it have an impact on quality of life? Our experience of 152 cases

Taneja

Milner

Iyer

2019

Clinical Otolaryngology

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“…Gulsen and Karatas 19 and Pradron and Preetam 20 reported the acceptable results with PTFE prosthesis. Sproat et al 26 and Iannella and Magliulo 27 reported the satisfactory surgical results of endoscopic stapes surgery using titanium prosthesis. Recently, Bianconi et al 7-18 reported the surgical results of 150 stapes surgery by TEES.…”

Section: Discussionmentioning

confidence: 99%

Hydroxyapatite Prostheses in Endoscopic Transcanal Stapes Surgery for Otosclerosis Cases

Fujioka

Ogawa

2021

Ear Nose Throat J

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Objectives: Hydroxyapatite is a commonly used material for medical applications due to its excellent biocompatibility. We use hydroxyapatite prosthesis for the reconstruction of the ossicular chain in stapes surgery. In this study, we report a case series of endoscopic ear surgery using a basket-type hydroxyapatite prosthesis. Methods: We retrospectively examined 8 cases of endoscopic transcanal stapes surgery using hydroxyapatite prostheses. We evaluated the postoperative results and complications. Results: The average postoperative air–bone gaps were within 10 dB in all cases. Postoperative sensorineural hearing loss was not observed in any case. There was an intraoperative complication with the chorda tympani in 1 patient. We were able to preserve the chorda tympani of all patients, including this case. Postoperative transient dizziness and transient taste disorder were observed in 50% of cases. No other complications, including facial nerve palsy, tympanic membrane perforation, or postoperative infection, were observed. Conclusions: The postoperative results and complications were comparable to those of surgery under a microscope. The hydroxyapatite prosthesis could be a possible alternative for the piston-type titanium or polytetrafluoroethylene prosthesis.

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Endoscopic Stapes Surgery: A Comparison With Microscopic Surgery

Cited by 50 publications

References 16 publications

Predictive Patient Factors for Poor Outcomes Following Stapedotomy for Otosclerosis

Predictive Patient Factors for Poor Outcomes Following Stapedotomy for Otosclerosis

Endoscopic ear surgery: Does it have an impact on quality of life? Our experience of 152 cases

Hydroxyapatite Prostheses in Endoscopic Transcanal Stapes Surgery for Otosclerosis Cases

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