Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T11:04:25.888Z Has data issue: false hasContentIssue false
  • English
  • Français

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

Published online by Cambridge University Press:  20 April 2020

H F Pauna ,
R C Pereira ,
R C Monsanto ,
M S A Amaral  and
M A Hyppolito
H F Pauna*
Affiliation:
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School / University of São Paulo, Brazil
R C Pereira
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas, Brazil
R C Monsanto
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Universidade Federal de São Paulo / Escola Paulista de Medicina, Brazil
M S A Amaral
Affiliation:
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School / University of São Paulo, Brazil
M A Hyppolito
Affiliation:
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School / University of São Paulo, Brazil
*
Author for correspondence: Dr Henrique F Pauna, Av Bandeirantes, 3900 – 12° andar, Monte Alegre, Ribeirão Preto – SP, Brasil, CEP 14049-900 E-mail: [email protected] Fax: +55 (16) 3602 2860
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

To evaluate the surgical techniques, approaches, audiological outcomes and complications of endoscopic stapes surgery.

Methods

Systematic 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.

Results

Fourteen 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.

Conclusion

Studies have shown that endoscopic stapes surgery has similar surgical and functional advantages as compared with microscopic surgery.

Keywords

EndoscopesStapes SurgeryOtosclerosisStapes Mobilization
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 5 , May 2020 , pp. 398 - 403
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr H F Pauna takes responsibility for the integrity of the content of the paper

References

Daneshi, A, Jahandideh, H. Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 2016;273:631–4CrossRefGoogle ScholarPubMed
Mer, SB, Derbyshire, AJ, Brushenko, A, Pontarelli, DA. Fiberoptic endoscopes for examining the middle ear. Arch Otolaryngol 1967;85:387–93CrossRefGoogle ScholarPubMed
Nomura, Y. Effective photography in otolaryngology head and neck surgery: endoscopic photography of the middle ear. Otolaryngol Head Neck Surg 1982;90:395–8CrossRefGoogle ScholarPubMed
Kozin, ED, Gulati, S, Kaplan, AB, Lehmann, A, Remenschneider, AK, Landegger, LD et al. Systematic review of endoscopic middle ear surgery outcomes. Laryngoscope 2015;125:1205–14CrossRefGoogle Scholar
Marchioni, D, Soloperto, D, Villari, D, Tatti, MF, Colleselli, E, Genovese, E et al. Stapes malformations: the contribute of endoscopy for diagnosis and surgery. Eur Arch Otorhinolaryngol 2016;273:1723–9CrossRefGoogle ScholarPubMed
Iannella, G, Magliulo, G. Endoscopic versus microscopic approach in stapes surgery: are operative times and learning curve important for making the choice? Otol Neurotol 2016;37:1350–7CrossRefGoogle ScholarPubMed
Tarabichi, M. Endoscopic middle ear surgery. Ann Otol Rhinol Laryngol 1999;108:39–46CrossRefGoogle ScholarPubMed
Nogueira, JF, Martins, MJB, Aguiar, CV, Pinheiro, AI. Fully endoscopic stapes surgery (stapedotomy): technique and preliminary results. Braz J Otorhinolaryngol 2011;77:721–7Google Scholar
Migirov, L, Wolf, M. Endoscopic transcanal stapedotomy: how I do it. Eur Arch Otorhinolaryngol 2013;270:1547–9CrossRefGoogle Scholar
Sarkar, S, Banerjee, S, Chakravarty, S, Singh, R, Sikder, B, Bera, SP. Endoscopic stapes surgery: our experience in thirty two patients. Clin Otolaryngol 2013;38:157–80CrossRefGoogle ScholarPubMed
Kojima, H, Komori, M, Chikazawa, S, Yaguchi, Y, Yamamoto, K, Chujo, K et al. Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 2014;124:266–71CrossRefGoogle ScholarPubMed
Hunter, JB, Rivas, A. Outcomes following endoscopic stapes surgery. Otolaryngol Clin North Am 2016;49:1215–25CrossRefGoogle ScholarPubMed
Naik, C, Nemade, S. Endoscopic stapedotomy: our view point. Eur Arch Otorhinolaryngol 2016;273:37–41CrossRefGoogle ScholarPubMed
Dursun, E, Özgür, A, Terzi, S, Oğurlu, M, Coşkun, ZO, Demirci, M. Endoscopic transcanal stapes surgery: our technique and outcomes. Kulak Burun Bogaz Ihtis Derg 2016;26:201–6CrossRefGoogle ScholarPubMed
Zhu, VF, Kou, YF, Lee, KH, Kutz, JW, Isaacson, B. Transcanal endoscopic ear surgery for the management of congenital ossicular fixation. Otol Neurotol 2016;37:1071–6CrossRefGoogle ScholarPubMed
Surmelioglu, O, Ozdemir, S, Tarkan, O, Tuncer, U, Dagkiran, M, Cetik, F. Endoscopic versus microscopic stapes surgery. Auris Nasus Larynx 2017;44:253–7CrossRefGoogle ScholarPubMed
Sproat, R, Yiannakis, C, Iyer, A. Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 2017;38:662–6CrossRefGoogle ScholarPubMed
Hunter, JB, Zuniga, MG, Leite, J, Killeen, D, Wick, C, Ramirez, J et al. Surgical and audiologic outcomes in endoscopic stapes surgery across 4 institutions. Otolaryngol Head Neck Surg 2016;154:1093–8CrossRefGoogle ScholarPubMed
Bennett, ML, Zhang, D, Labadie, RF, Noble, JH. Comparison of middle ear visualization with endoscopy and microscopy. Otol Neurotol 2016;37:362–6CrossRefGoogle ScholarPubMed
Vincent, R, Sperling, M, Oates, J, Jindal, M. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol 2006;27:S25–47CrossRefGoogle ScholarPubMed