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Microscopic versus endoscopic stapes surgery: systematic review and meta-analysis

Part of: JLO Editors' Choice Papers 2022

Published online by Cambridge University Press:  11 January 2022

J Hajiioannou Open the ORCID record for J Hajiioannou [Opens in a new window] ,
E Gkrinia Open the ORCID record for E Gkrinia [Opens in a new window] ,
K Tzimkas-Dakis ,
E Palla ,
A Brotis ,
C Korais ,
A Saratziotis ,
V Lachanas  and
C Skoulakis
J Hajiioannou*
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
E Gkrinia
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
K Tzimkas-Dakis
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
E Palla
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
A Brotis
Affiliation:
Department of Neurosurgery, University Hospital of Larissa, Larissa, Greece
C Korais
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
A Saratziotis
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
V Lachanas
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
C Skoulakis
Affiliation:
Department of ENT, University Hospital of Larissa, Larissa, Greece
*
Author for correspondence: Prof Jiannis Hajiioannou, ENT Department, Faculty of Medicine, School of Health Sciences, University of Thessaly – University Hospital of Larissa, Biopolis, 41110Larissa, Greece E-mail: jhajiioannou@gmail.com
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Abstract

Objective

To compare the efficacy and safety characteristics of endoscopic and microscopic stapes surgery based on current evidence.

Methods

A systematic literature search was conducted of three medical databases, focusing on randomised, controlled studies or observational studies. Data related to the efficacy and safety of each technique were extracted. Outcome data were summarised using the pooled mean differences or pooled odds ratios, along with their 95 per cent confidence intervals.

Results

Thirteen studies were included in the meta-analysis. Success rate was evaluated by estimating air–bone gap improvement; this revealed comparable outcomes for the two techniques (mean difference = −0.20; 95 per cent confidence interval = −0.53, 0.14). No statistically significant difference was detected concerning post-operative complications, except for dysgeusia (odds ratio = −1.12; 95 per cent confidence interval = −1.97, −0.28) and pain (odds ratio = −2.00; 95 per cent confidence interval = −2.97, −1.04), which favoured the endoscopic approach.

Conclusion

Though both techniques result in commensurate outcomes concerning success rate, post-operative pain and dysgeusia favour the endoscopic approach. Further high-quality studies are needed to adequately compare the two methods.

Keywords

StapesStapes SurgeryMethodsEndoscopyMicroscopyOtolaryngology
Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1014 - 1022
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Prof J Hajiioannou takes responsibility for the integrity of the content of the paper

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