Endoscopic transcanal stapes surgery: our technique and outcomes

Yıl 2016, Cilt: 26 Sayı: 4, 201 - 206, 10.09.2016

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

Öz

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.

Anahtar Kelimeler

Endoscopic ear surgery, otosclerosis, stapes surgery

Endoskopik transkanal stapes cerrahisi: Tekniğimiz ve sonuçlarımız

Öz

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

Anahtar Kelimeler

Endoskopik kulak cerrahisi, otoskleroz, stapes cerrahisi

Kaynakça

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