Öz
Kaynakça
- 1. Karosi T, Sziklai I. Etiopathogenesis of otosclerosis. Eur Arch Otorhinolaryngol. 2010;267(9):1337–1349.
- 2. Isaacson B, Hunter JB, Rivas A (2018) Endoscopic stapes surgery. Otolaryngol Clin North Am 51(2):415–428. https://doi.org/10.1016/j.otc.2017.11.011
- 3. Nassiri AM, Yawn RJ, Dedmon MM et al (2018) Primary endoscopic stapes surgery: audiologic and surgical outcomes. Otol Neurotol 39(9):1095–1101. https://doi.org/10.1097/MAO.0000000000001958
- 4. Iannella G, Marcotullio D, Re M et al (2017) Endoscopic vs microscopic approach in stapes surgery: advantages in the middle ear structures visualization and trainee’s point of view. J Int Adv Otol 13(1):14–20. https://doi.org/10.5152/iao.2017.3322
- 5. Bianconi L, Gazzini L, Laura E, et al. Endoscopic stapedotomy: safety and audiological results in 150 patients. Eur Arch Otorhinolaryngol. 2020;277(1):85–92
- 6. Vaughan C, Fox R, Jufas N, et al. Endoscopic stapedectomy: collective experience from a large Australian center. Otol Neurotol. 2020;41(9):1198–1201.
- 7. Hunter JB, Rivas A (2016) Outcomes following endoscopic stapes surgery. Otolaryngol Clin North Am 49(5):1215–1225. https://doi.org/10.1016/j.otc.2016.05.012
- 8. Sproat R, Yiannakis C, Iyer A (2017) Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 38(5):662–666. https://doi.org/10.1097/MAO.0000000000001371.
- 9. Bartel R, Levorato M, Adroher M et al (2019) Transcanal endoscopic type 1 tympanoplasty in children: cartilage butterfly and fascia temporalis graft. Int J Pediatr Otorhinolaryngol 121:120–122.
- 10. Bartel, R., Sanz, J.J., Clemente, I. et al. Endoscopic stapes surgery outcomes and complication rates: a systematic review. Eur Arch Otorhinolaryngol 278, 2673–2679 (2021). https://doi.org/10.1007/s00405-020-06388-8
- 11. Tarabichi M (1999) Endoscopic middle ear surgery. Ann Otol Rhinol Laryngol 108(1):39–46
- 12. Daneshi A, Jahandideh H (2016) Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngo 273(3):631–634
- 13. Hunter JB, O'Connell BP, Rivas A (2016) Endoscopic techniques in tympanoplasty and stapes surgery. Curr Opin Otolaryngol Head Neck Surg 24(5):388–394.
- 14. Naik, C., & Nemade, S. (2016). Endoscopic stapedotomy: our view point. European Archives of Oto-Rhino-Laryngology, 273, 37-41.
- 15. Yung M, Smith P, Hausler R, et al. International common otology database: taste disturbance after stapes surgery. Otol Neurotol 2008; 29:661–665.
- 16. Berling Holm K, Knutsson J, Stromback K, et al. Taste disturbance after stapes surgery: an evaluation of frequency, severity, duration, and quality-of-life. Acta Otolaryngol 2017; 137:39–43
- 17. Guder E, Bottcher A, Pau HW, et al. Taste function after stapes surgery. Auris Nasus Larynx 2012; 39:562–566
- 18. Hunter JB, Zuniga MG, Leite J, et al. Surgical and audiologic outcomes in endoscopic stapes surgery across 4 institutions. Otolaryngol Head Neck Surg 2016; 154:1093–1098.
Öz
Endoscopic Transcanal Stapes Surgery: Our Audiological and Surgical Results
Adem Bora, Tuğberk Salık
Sivas Republic University Health Services Application and Research Hospital, Ear Nose Throat Clinic, Sivas, Turkey
ABSTRACT
Aim: The aim of this study is to investigate the intraoperative and postoperative results of endoscopic stapes surgery performed at our institution.
Methods: A total of 25 patients with 28 ears (14 right, 14 left ears) who underwent endoscopic stapes surgery between 2018 and 2022 were analyzed for postoperative hearing outcomes and surgical complications at the 6-month follow-up.
Results: The average age of the patients was 43.16 years (range, 24-63 years), and 64.0% of the patients were female. The median preoperative air-bone gap decreased from 30.36 dB hearing level (HL) to 18.95 dB HL after surgery (P < 0.001). The postoperative air-bone gap was 10 dB or lower in 8 patients (28.6%), 11-20 dB in 10 patients (35.7%), and more than 20 dB in 6 patients (21.4%). Intraoperative complications included only tympanic membrane ruptures in one patient, which resolved during the initial follow-up. Postoperatively, 10.7% of the subjects complained of changes in taste sensation. One patient developed facial paralysis responsive to steroid treatment one week after surgery.
Conclusion: Endoscopic surgery is particularly suitable for stapedial disorders. Endoscopic stapes surgery is minimally invasive and suitable for surgical training, as surgical anatomy can be easily understood, and both the surgeon and assistant can observe the procedure from the same monitor. The operation should only be performed by experienced surgeons due to the need for single-handed operation and the lack of stereoscopic vision.
Keywords: Stapes; Stapedectomy; Outcomes; Endoscopic ear surgery
Anahtar Kelimeler
Kaynakça
- 1. Karosi T, Sziklai I. Etiopathogenesis of otosclerosis. Eur Arch Otorhinolaryngol. 2010;267(9):1337–1349.
- 2. Isaacson B, Hunter JB, Rivas A (2018) Endoscopic stapes surgery. Otolaryngol Clin North Am 51(2):415–428. https://doi.org/10.1016/j.otc.2017.11.011
- 3. Nassiri AM, Yawn RJ, Dedmon MM et al (2018) Primary endoscopic stapes surgery: audiologic and surgical outcomes. Otol Neurotol 39(9):1095–1101. https://doi.org/10.1097/MAO.0000000000001958
- 4. Iannella G, Marcotullio D, Re M et al (2017) Endoscopic vs microscopic approach in stapes surgery: advantages in the middle ear structures visualization and trainee’s point of view. J Int Adv Otol 13(1):14–20. https://doi.org/10.5152/iao.2017.3322
- 5. Bianconi L, Gazzini L, Laura E, et al. Endoscopic stapedotomy: safety and audiological results in 150 patients. Eur Arch Otorhinolaryngol. 2020;277(1):85–92
- 6. Vaughan C, Fox R, Jufas N, et al. Endoscopic stapedectomy: collective experience from a large Australian center. Otol Neurotol. 2020;41(9):1198–1201.
- 7. Hunter JB, Rivas A (2016) Outcomes following endoscopic stapes surgery. Otolaryngol Clin North Am 49(5):1215–1225. https://doi.org/10.1016/j.otc.2016.05.012
- 8. Sproat R, Yiannakis C, Iyer A (2017) Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 38(5):662–666. https://doi.org/10.1097/MAO.0000000000001371.
- 9. Bartel R, Levorato M, Adroher M et al (2019) Transcanal endoscopic type 1 tympanoplasty in children: cartilage butterfly and fascia temporalis graft. Int J Pediatr Otorhinolaryngol 121:120–122.
- 10. Bartel, R., Sanz, J.J., Clemente, I. et al. Endoscopic stapes surgery outcomes and complication rates: a systematic review. Eur Arch Otorhinolaryngol 278, 2673–2679 (2021). https://doi.org/10.1007/s00405-020-06388-8
- 11. Tarabichi M (1999) Endoscopic middle ear surgery. Ann Otol Rhinol Laryngol 108(1):39–46
- 12. Daneshi A, Jahandideh H (2016) Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngo 273(3):631–634
- 13. Hunter JB, O'Connell BP, Rivas A (2016) Endoscopic techniques in tympanoplasty and stapes surgery. Curr Opin Otolaryngol Head Neck Surg 24(5):388–394.
- 14. Naik, C., & Nemade, S. (2016). Endoscopic stapedotomy: our view point. European Archives of Oto-Rhino-Laryngology, 273, 37-41.
- 15. Yung M, Smith P, Hausler R, et al. International common otology database: taste disturbance after stapes surgery. Otol Neurotol 2008; 29:661–665.
- 16. Berling Holm K, Knutsson J, Stromback K, et al. Taste disturbance after stapes surgery: an evaluation of frequency, severity, duration, and quality-of-life. Acta Otolaryngol 2017; 137:39–43
- 17. Guder E, Bottcher A, Pau HW, et al. Taste function after stapes surgery. Auris Nasus Larynx 2012; 39:562–566
- 18. Hunter JB, Zuniga MG, Leite J, et al. Surgical and audiologic outcomes in endoscopic stapes surgery across 4 institutions. Otolaryngol Head Neck Surg 2016; 154:1093–1098.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Tıp Eğitimi |
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Aralık 2023 |
| Gönderilme Tarihi | 11 Ekim 2023 |
| Kabul Tarihi | 28 Aralık 2023 |
| Yayımlandığı Sayı | Yıl 2023 |