Endoscopic transcanal stapes surgery: our technique and outcomes

Dursun, Engin; Özgür, Abdulkadir; Terzi, Suat; Oğurlu, Mahmut; Çoşkun, Zerrin Özergin; Demirci, Münir

doi:10.5606/kbbihtisas.2016.43503

Cited by 14 publications

(12 citation statements)

References 11 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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“…A PRISMA flow chart of the search numbers and included studies is shown in Figure 2. A total of 13 papers were identified (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16), that included relevant information regarding endoscopic stapes surgery published in the last 10 years (2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017)(2018). The papers are summarized in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…Two studies described 3 (0.8%) cases of temporary facial nerve weakness. Dursun et al described two cases, considered to be the result of local anesthetic application, with complete resolution within a week (6). Kojima et al described one further case in a patient with congenital stapes fixation, where a dehiscent facial nerve was found in contact with the stapes superstructure (9).…”

Section: Complicationsmentioning

confidence: 99%

Endoscopic Stapedotomy: A Systematic Review

Hoskison

Harrop

Jufas

et al. 2021

Otology &Amp; Neurotology

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Objectives:Stapes surgery has evolved from its origins in 1956. Microscopic assisted stapedotomy remains the most common technique but the introduction of endoscopic ear surgery has led to some units using this new approach. The endoscope delivers a wide angled, contextual view of the stapes, and associated pathology. This systematic review provides a critical analysis of the current published endoscopic data, allowing comparison to the established microscopic technique.Data sources:Six databases (PubMed, Medline, Cochrane database, AMED, EMBASE, and CINAHL) were searched for studies within the last 10 years.Study selection and data extraction:English language articles including 5 or more cases were included. Primary outcomes included audiological results and reported complications. Data was extracted according to PRISMA guidelines.Results:Thirteen papers were identified comprising 361 endoscopic stapes surgeries. Postoperative temporary facial nerve weakness was reported in 3 patients (0.8%) which all resolved within 4 weeks. Chorda tympani injury occurred in 21 cases (5.8%) and vertigo in 61 (16.9%). The audiometric outcomes of endoscopic stapes surgery were available for 259 patients and showed air bone gap closure rates of 71.4% (0–10 dB), 25.9% (11–20 dB), 2.3% (21–30 dB), and 0.4% (>30 dB).Conclusions:Endoscopic stapes surgery has similar audiometric outcomes compared to the traditional microscopic approach with air bone gap closure values of <20 dB in 97.3% of cases. However, the complication rates of chorda tympani damage, postoperative dysguesia, and tympanic membrane perforation for endoscopic stapes surgery are high. Caution should therefore be taken before undertaking stapes surgery with the endoscopic technique. Further studies are required to prove superiority over well established existing microsurgical methods.

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“…Dursun et al . 14 reported tympanic membrane perforation in three patients who underwent endoscopic stapes surgery.…”

Section: Discussionmentioning

confidence: 99%

A comparison between endoscopic and microscopic approaches for stapes surgery: a systematic review

et al. 2020

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ObjectivesTo evaluate the surgical techniques, approaches, audiological outcomes and complications of endoscopic stapes surgery.MethodsSystematic searches of the literature were performed in PubMed, Web of Science and Scopus databases, to identify studies of patients who underwent stapes surgery using endoscopic approaches and studies reporting objective post-operative hearing outcomes. The following information was extracted: surgery duration, complications, surgical technique and audiometric results.ResultsFourteen studies were selected for appraisal, which included a total of 282 ears subjected to endoscopic stapes surgery. Endoscopic stapes surgery seems to provide adequate visualisation of the middle-ear structures, thereby allowing less invasive surgery and potentially equivalent audiological outcomes as compared with a traditional microscopic approach. Other advantages of endoscopic stapes surgery include decreased surgery time, a reduced need for drilling, and auditory results comparable to those of microscopic techniques.ConclusionStudies have shown that endoscopic stapes surgery has similar surgical and functional advantages as compared with microscopic surgery.

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Endoscopic transcanal stapes surgery: our technique and outcomes

Cited by 14 publications

References 11 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 Stapedotomy: A Systematic Review

A comparison between endoscopic and microscopic approaches for stapes surgery: a systematic review

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