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Stapedotomy using skeeter drill and self-retaining ear canal retractor: a single surgeon's 1000-plus surgical procedure experience

Published online by Cambridge University Press:  09 February 2022

N Vishnu Swaroop Reddy ,
M Sharma Open the ORCID record for M Sharma [Opens in a new window] ,
S Shekhar Open the ORCID record for S Shekhar [Opens in a new window] ,
Priyanka Sharma ,
Rushil Narapareddy  and
Punit Sharma
N Vishnu Swaroop Reddy
Affiliation:
Department of Otolaryngology, Head and Neck and Facial Plastic Surgery, Care hospitals, Hyderabad, India
M Sharma*
Affiliation:
Community Health Centre, Nakaha, India
S Shekhar
Affiliation:
ENT Department, Care Hospitals, Hyderabad, India
Priyanka Sharma
Affiliation:
Department of ENT, District Hospital, Lakhimpur Kheri, India
Rushil Narapareddy
Affiliation:
College of Health Solutions, Arizona State University, Phoenix, USA
Punit Sharma
Affiliation:
All India Institute of Medical Sciences, Patna, India
*
Author for correspondence: Dr Manoj Sharma, Department of ENT, Community Health Centre, Block Road, Nakaha, Lakhimpur Kheri, Uttar Pradesh262701, India E-mail: [email protected]
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Abstract

Objective

This study aimed to evaluate the long-term hearing outcomes in stapedotomy surgery using skeeter oto-drill and to assess safety in difficult situations.

Method

A retrospective study was conducted with 944 patients who underwent 1007 stapedotomy procedures over 16 years, performed by a single surgeon using a trans-canal approach and a self-retaining ear canal retractor. Hearing thresholds were calculated over four frequencies. Air–bone conduction hearing thresholds were obtained at 1, 5 and 10 years post-operatively and compared to the pre-operative records.

Results

Out of 1007 operated ears with one year follow up, 98.61 per cent of cases showed a negligible air–bone gap of equal to or less than 5 dB, 1.19 per cent of cases showed an air–bone gap equal to or more than 5 dB but less than 10 dB, and only 0.2 per cent of cases showed an air–bone gap of more than 10 dB.

Conclusion

In this study, using skeeter drill with a 0.6 mm diamond burr to make the fenestra was constant in all the cases and one of the safest techniques, showing persistent long-term hearing results.

Keywords

StapedotomyOtosclerosisOsteogenesis ImperfectaConductive Hearing Loss
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1081 - 1086
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr Manoj Sharma takes responsibility for the integrity of the content of the paper

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