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CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(01): e165-e169
DOI: 10.1055/s-0043-1761171
Systematic Review

Outcomes of Endoscopic Stapedectomy: Systematic Review

Ahmed Nabil Elsamnody 
1   Department of Otorhinolaryngology, Al-Azhar University Hospitals, Cairo, Egypt
,
Amr Hamdino Yousef 
1   Department of Otorhinolaryngology, Al-Azhar University Hospitals, Cairo, Egypt
,
Mohamed Salah Taha 
1   Department of Otorhinolaryngology, Al-Azhar University Hospitals, Cairo, Egypt
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Abstract

Introduction Stapes surgery was traditionally performed with the use of microscopy either through postauricular, endaural or transcanal approaches. Endoscopic stapedectomy ushered a revolution as a new technique with less complications.

Objective To review the outcomes of endoscopic stapes surgery with an emphasis on intraoperative and postoperative clinical and audiological results.

Data Synthesis A literature review on the PubMed, Web of Science, Scopus, the Cochrane Library, and Embase databases was conducted. Endoscopic stapes surgery or stapedotomy were the main keywords used, and we searched for studies and research published from January 2015 to October 2021. Articles on endoscopic stapes surgery were included, and qualitative and descriptive analyses of the studies and outcomes data regarding audiometric changes and postoperative complications were conducted. Articles including patients with cholesteatoma were excluded. A total of 122 studies were retrieved for qualitative and descriptive analyses and to measure the outcomes of endoscopic stapedotomy; only 12 studies met the inclusion criteria, and the rest was excluded. The meta-analysis revealed a statistically significant difference in hearing improvement. The gain in air-bone gap ranged from 9 dB to 16 dB. A low rate of operative and postoperative complications was reported.

Conclusions Endoscopic stapes surgery appears to be a reasonable alternative to microscopic stapes surgery, with shorter operative times, low complication rate, and significant hearing improvement. The endoscopic technique enabled a better visualization and less scutum drilling, which was confirmed by all included studies.

Keywords

endoscopy - conductive hearing loss - otosclerosis - tinnitus


Publication History

Received: 14 June 2022

Accepted: 09 October 2022

Article published online:
05 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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