Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients

Daneshi, Ahmad; Jahandideh, Hesam

doi:10.1007/s00405-015-3614-9

Cited by 39 publications

(48 citation statements)

References 10 publications

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“…After excluding duplicates, we screened the remaining records for eligibility and found six articles for qualitative and quantitative synthesis (Fig. ) . Characteristics of the included studies are presented in Table .…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2019

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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

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Section: Resultsmentioning

confidence: 99%

“…All studies evaluated average postoperative ABG, but only five studies performed the evaluation according to the Committee on Hearing and Equilibrium of the American Academy of Otolaryngology–Head and Neck Surgery . We analyzed the ABG in three groups.…”

Section: Resultsmentioning

confidence: 99%

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

et al. 2019

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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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“…With the increasing popularity of endoscopic techniques in otologic surgery, there have been reports about endoscopic stapes surgery. [6][7][8] Thirtyone endoscopic stapes surgery cases were reviewed retrospectively for hearing results and complications in this report.…”

Section: Discussionmentioning

confidence: 99%

“…[5] In recent years, stapes surgery has been performed with endoscopes at all stages. [6][7][8] The aim of this study is to evaluate the results of endoscopic stapes surgery in terms of hearing gain and surgical complications.…”

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confidence: 99%

Endoscopic transcanal stapes surgery: our technique and outcomes

Dursun

Özgür²,

Terzi³

et al. 2016

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to evaluate the outcomes of endoscopic stapes surgery in terms of hearing gain and complications. Patients and Methods:The medical records of 31 patients (13 males, 18 females; mean age 41.5±8.6 years; range 23 to 60 years) who underwent endoscopic stapes surgery in our clinic between April 2013 and June 2015 were retrospectively analyzed. The mean preoperative and postoperative pure tone bone conduction, air-bone gap, postoperative air-bone gap gain, duration of surgery and complications were evaluated. Results:The right ear was operated on 15 patients and the left ear on 16 patients. The mean postoperative air-bone gap was statistically significantly improved, compared to preoperative values (p<0.001). The mean air-bone gap gain was 25.5±7.0 dB. Conclusion:Our study results suggest that endoscopy is a safe method which can be used in stapes surgery.Keywords: Endoscopic ear surgery; otosclerosis; stapes surgery. ÖZAmaç: Bu çalışmada stapes cerrahisinin işitme başarısı ve komplikasyonlar açısından sonuçları değerlendirildi. Hastalar ve Yöntemler:Nisan 2013 -Haziran 2015 tarihleri arasında kliniğimizde endoskopik stapes cerrahisi uygulanan 31 hastanın (13 erkek, 18 kadın; ort. yaş 41.5±8.6 yıl; dağılım 23-60 yıl) tıbbi kayıtları retrospektif olarak incelendi. Ameliyat öncesi ve ameliyat sonrası saf ses kemik yolu ortalamaları, hava-kemik yolu açıklığı, ameliyat sonrası hava-kemik yolu açıklığı kazancı, cerrahi süresi ve komplikasyonlar değerlendirildi. Bulgular:On beş hastanın sağ kulağı ve 16 hastanın sol kulağı ameliyat edildi. Ameliyat öncesi değerlere kıyasla, ameliyat sonrası ortalama hava-kemik yolu açıklığında istatistiksel olarak anlamlı bir iyileşme gözlendi (p<0.001). Ortalama hava-kemik yolu açıklığı kazancı 25.5±7.0 dB idi. Sonuç: Çalışma bulgularımız endoskopinin stapes cerrahisinde kullanılabilecek güvenli bir yöntem olduğunu göstermektedir.

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Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients

Cited by 39 publications

References 10 publications

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

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

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

Endoscopic transcanal stapes surgery: our technique and outcomes

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