Endoscopic transcanal stapes surgery: our technique and outcomes

Year 2016, Volume: 26 Issue: 4, 201 - 206, 10.09.2016

Engin Dursun Abdulkadir Özgür Suat Terzi Mahmut Oğurlu Zerrin Özergin Coşkun Münir Demirci

Abstract

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

Endoskopik transkanal stapes cerrahisi: Tekniğimiz ve sonuçlarımız

Abstract

Amaç: 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

Keywords

Endoskopik kulak cerrahisi, otoskleroz, stapes cerrahisi

References

• McKenna MJ, Kristiansen AG. Molecular biology of otosclerosis. Adv Otorhinolaryngol 2007;65:68-74.
• Rudic M, Keogh I, Wagner R, Wilkinson E, Kiros N, Ferrary E, et al. The pathophysiology of otosclerosis: Review of current research. Hear Res 2015;330:51-6.
• Dankuc D. History of the surgery for otosclerosis and cochlear implants. Med Pregl 2015;68:151-5.
• Tarabichi M. Endoscopic transcanal middle ear surgery. Indian J Otolaryngol Head Neck Surg 2010;62:6-24.
• Poe DS. Laser-assisted endoscopic stapedectomy: a prospective study. Laryngoscope 2000;110:1-37.
• Daneshi A, Jahandideh H. Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 2016;273:631-4.
• Migirov L, Wolf M. Endoscopic transcanal stapedotomy: how I do it. Eur Arch Otorhinolaryngol 2013;270:1547-9.
• Nogueira Jşnior JF, Martins MJ, Aguiar CV, Pinheiro AI. Fully endoscopic stapes surgery (stapedotomy): technique and preliminary results. Braz J Otorhinolaryngol 2011;77:721-7.
• Hancı D, Sözen T, Kayahan B, Saraç S, Sennaroğlu L. Stapes surgery outcomes: the practice of 35 years. Turk Arch Otolaryngol 2014;52:115-20.
• Topdağ DO, Topdağ M, Aydın O, Keskin G, Oztürk M, Işeri M. Evaluation of efficacy of otosclerosis surgery on hearing outcomes. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2014;24:137-47.
• Hough JV, Dyer RK Jr. Stapedectomy. Causes of failure and revision surgery in otosclerosis. Otolaryngol Clin North Am 1993;26:453-70.
• Wegner I, van Waes AM, Bittermann AJ, Buitinck SH, Dekker CF, Kurk SA, et al. A Systematic Review of the Diagnostic Value of CT Imaging in Diagnosing Otosclerosis. Otol Neurotol 2016;37:9-15.
• Wegner I, Bittermann AJ, Zinsmeester MM, van der Heijden GJ, Grolman W. Local versus general anesthesia in stapes surgery for otosclerosis: a systematic review of the evidence. Otolaryngol Head Neck Surg 2013;149:360-5.
• Kojima H, Komori M, Chikazawa S, Yaguchi Y, Yamamoto K, Chujo K, et al. Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 2014;124:266-71.
• Özgür A, Dursun E, Erdivanli ÖÇ, Coşkun ZÖ, Terzi S, Emiroğlu G, et al. Endoscopic cartilage tympanoplasty in chronic otitis media. J Laryngol Otol 2015;129:1073-7.
• Özgür A, Dursun E, Terzi S, Erdivanlı ÖÇ, Coşkun ZÖ, Oğurlu M, et al. Endoscopic butterfly cartilage myringoplasty. Acta Otolaryngol 2016;136:144-8.