Surgical and Audiologic Outcomes in Endoscopic Stapes Surgery across 4 Institutions

Hunter, Jacob B.; Zúñiga, M. Geraldine; Leite, Janaina Gonçalves da Silva; Killeen, Daniel E.; Wick, Cameron C.; Ramírez, J. Eduardo; Rivas, José Antonio; Nogueira, João Flávio; Isaacson, Brandon; Rivas, Alejandro

doi:10.1177/0194599816633654

Cited by 48 publications

(37 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…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

View full text Add to dashboard Cite

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.

show abstract

Section: Resultsmentioning

confidence: 99%

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

2019

View full text Add to dashboard Cite

show abstract

“…All patients had preoperative and at least 6 weeks of postoperative audiologic data. Audiometric testing and calculations were conducted as previously described . Audiometric data herein are presented according to the 1995 American Academy of Otolaryngology–Head and Neck Surgery consensus guidelines .…”

Section: Methodsmentioning

confidence: 99%

“…Although prior studies have demonstrated similar audiologic and surgical outcomes between endoscopic and microscopic approaches for primary stapes surgery, endoscopic outcomes for revision stapes surgery have not been previously reported. This case series describes the presentation, clinical course, and outcomes of six patients who underwent endoscopic revision stapes surgery.…”

Section: Introductionmentioning

confidence: 94%

Audiologic and surgical outcomes in endoscopic revision stapes surgery

et al. 2019

Self Cite

View full text Add to dashboard Cite

“…Recently, there has been a number of publications comparing the two modalities and only one review, but no meta‐analysis that attempted to collect all evidence on the field . Therefore, we decided to systematically review the literature for studies that compared endoscopic with microscopic stapes surgery to perform a meta‐analysis to test our hypothesis: endoscopy performs better than microscopy.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic versus microscopic stapes surgery outcomes: A meta‐analysis and systematic review

et al. 2019

View full text Add to dashboard Cite

Objective Compare intraoperative and postoperative outcomes of endoscopic and microscopic stapes surgery to provide objective evidence on whether the former is a better alternative than the latter. Methods We performed a systematic review and meta‐analysis for studies that compared endoscopic stapes surgery with microscopic stapes surgery. Only studies that met predetermined criteria were selected and assessed for bias and quality. Primary outcomes were postoperative air–bone gap (ABG) and chorda tympani nerve injury. Secondary outcomes were average operating time, tympanic membrane (TM) perforation, and postoperative taste disturbance, pain, and dizziness. We calculated pooled odds ratios (ORs) with 95% confidence intervals (CIs) for dichotomous outcomes and weighted mean difference (WMD) with 95% CI for continuous outcomes. A confidence interval starting above 1.0 was considered as statistically significant. I2 and χ2 tests were used to quantify statistical heterogeneity. We used funnel plots to look for publication bias and performed a sensitivity analysis. Results Six nonrandomized cohort studies were eligible. The primary outcomes were ABG < 10 dB: OR = 1.80 (95% CI: 0.96 to 3.38), ABG = 11 dB to 20 dB: OR = 1.49 (95% CI: 0.76 to 2.93), ABG > 20 dB: OR = 2.51 (95% CI: 0.77 to 8.22), and chorda tympani injury: OR = 3.51 (95% CI: 1.55 to 7.93). Secondary outcomes were taste: OR = 2.36 (95% CI: 1.01 to 5.51), average operation time: WMD = 0.14 (95% CI: −11.69 to 11.98), TM perforation: OR = 1.70 (95% CI: 0.44 to 6.58); pain: OR = 0.84 (95% CI: 0.36 to 1.96), and dizziness: OR = 2.15 (95% CI: 0.94 to 4.89). Conclusions Endoscopic stapes surgery is a valid alternative to the microscope. Level of Evidence 2a Laryngoscope, 130: 2019–2027, 2020

show abstract

Surgical and Audiologic Outcomes in Endoscopic Stapes Surgery across 4 Institutions

Cited by 48 publications

References 19 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

Audiologic and surgical outcomes in endoscopic revision stapes surgery

Endoscopic versus microscopic stapes surgery outcomes: A meta‐analysis and systematic review

Contact Info

Product

Resources

About