Endoscopic stapes surgery: Our experience in thirty two patients

Sarkar, Saurav; Banerjee, Samir; Chakravarty, Sanchari; Singh, Randhir; Sikder, Biswajit; Bera, S. P.

doi:10.1111/coa.12051

Cited by 43 publications

(31 citation statements)

References 3 publications

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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%

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%

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

2019

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“…First, the monitor can be viewed by both the surgeon and his assistants, making surgical anatomy and procedures more easily understood by trainee surgeons. Second, the endoscope located near to the middle ear structures allows a greater magnification without loss of resolution [7,9,17,18,20,36] . This could be an important advantage to assistants in training who are inexperienced in recognition of middle ear structures.…”

Section: Discussionmentioning

confidence: 99%

“…According to these data, a "total" identification of the stapes footplate and the oval window was 16 J Int Adv Otol 2017; 13(1): [14][15][16][17][18][19][20] Significant information marked in bold. p value has been calculated between "total" identification and overall "partial" and "no" identification of the two different surgical approaches.…”

Section: Understanding Of Middle Ear Anatomy and Surgical Steps Of Stmentioning

confidence: 99%

“…In addition, endoscopes allow visualization around structures, which is not possible with a conventional microscope and is greatly augmented with angled endoscopes [6,[13][14][15][16] . Accordingly, an increasing number of ear-surgeons nowadays considers otosclerosis to be a suitable disease for endoscopic stapes surgery due to the fact that the endoscopic approach offers excellent visualization of middle ear structures and recesses, mainly the oval window niche, stapes anterior crus, and its suprastructure [5,6,[17][18][19] . However, few comparative studies between endoscope and microscope regarding visualization and resolution of middle ear structures in stapes surgery have been reported [5,6,20] .…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic vs Microscopic Approach in Stapes Surgery: Advantages in the Middle Ear Structures Visualization and Trainee's Point of View

Iannella

Marcotullio²,

Re³

et al. 2017

Int Adv Otol

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OBJECTIVE:Comparing the endoscopic and microscopic approaches in stapes surgery, and establishing the surgical approach that allows better results in terms of visualization of the middle ear structures and aids assistant's training. MATERIALS and METHODS:Twenty-one residents from the first to the fifth year of training in Otolaryngology were enrolled in this prospective study. A questionnaire specifically designed to investigate the understanding of middle ear anatomy, the surgical steps, and a personal opinion about endoscopic stapes surgery was submitted to each resident. RESULTS:Statistical differences between the endoscopic and microscopic approaches were evident about identification of stapes and long process of the incus (p=0.03) and stapes footplate and the oval window (p=0.03). No substantial difference between the two surgical approaches emerged regarding the visualization of the tympanic membrane and the other middle ear structures (p>0.5). A substantial difference in favor of the endoscopic approach emerged regarding the identification of the hole creation in the footplate of the stapes. CONCLUSION:Endoscopic stapes surgery could favor an easier understanding of the surgical technique for assistants in training with little knowledge of the anatomy and surgical steps.

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“…With a mean preoperative air-bone gap of 41.5 dB, they described a 3-month mean postoperative air-bone gap of 10.1 dB, a statistically significant improvement. 8 However, no information regarding complications was documented.…”

mentioning

confidence: 99%

Surgical and Audiologic Outcomes in Endoscopic Stapes Surgery across 4 Institutions

Hunter

Zúñiga

Leite

et al. 2016

Otolaryngol.--head neck surg.

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Endoscopic stapes surgery: Our experience in thirty two patients

Cited by 43 publications

References 3 publications

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

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

Endoscopic vs Microscopic Approach in Stapes Surgery: Advantages in the Middle Ear Structures Visualization and Trainee's Point of View

Surgical and Audiologic Outcomes in Endoscopic Stapes Surgery across 4 Institutions

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