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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: h_pauna@hotmail.com Fax: +55 (16) 3602 2860
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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

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Footnotes

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

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