Two-handed endoscopic ear surgery: Feasibility for stapes surgery

Endoscopic ear surgery is becoming an increasingly popular approach. Our aim in this study is to evaluate the feasibility of the two-handed endoscopic technique for stapes surgery, which has its own unique steps. Patients who underwent two-handed endoscopic stapes surgery between September 2017 and...

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Bibliographic Details
Published in:American journal of otolaryngology 2021-11, Vol.42 (6), p.103111-103111, Article 103111
Main Authors: Eren, Sabri Baki, Vural, Ömer, Dogan, Remzi, Senturk, Erol, Ozturan, Orhan
Format: Article
Language:English
Subjects:
Anesthesia
Audiometry, Pure-Tone
Complications
Ear
Ears & hearing
Endoscope holder
Endoscopes
Endoscopic ear surgery
Endoscopy
Endoscopy - methods
Facial nerve
Feasibility Studies
Female
Hearing loss
Humans
Male
Microsurgery
Microsurgery - methods
Otolaryngology
Otosclerosis
Otosclerosis - physiopathology
Otosclerosis - surgery
Paresis
Patients
Prostheses
Stapes surgery
Stapes Surgery - methods
Surgeons
Surgery
Surgical outcomes
Time Factors
Tinnitus
Tympanic membrane
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Summary:Endoscopic ear surgery is becoming an increasingly popular approach. Our aim in this study is to evaluate the feasibility of the two-handed endoscopic technique for stapes surgery, which has its own unique steps. Patients who underwent two-handed endoscopic stapes surgery between September 2017 and February 2018 were included in this study. Preoperative and postoperative pure tone averages and air bone gaps, intraoperative complications were recorded. All procedures were performed under hypotensive general anesthesia by the same surgeon using 0° rigid endoscopes of 2.7-mm diameter, 14-cm length with an endoscope holder. Seven endoscopic two-handed stapes surgery were performed between September 2017 and February 2018. Of these, six patients were operated entirely endoscopically because one patient was found to has perilymph gusher and converted to microscopic surgery. There were no intraoperative tympanic membrane injuries, facial nerve paresis or sensorineural hearing losses. The average preoperative ABG of patients who underwent fully endoscopic surgery was 31.3 dB, and the postoperative ABG closed up to 9.6 dB. Adoption of the two-handed technique during endoscopic stapes surgery ensures the surgeon benefits from the advantages of endoscopy while overcoming the disadvantages of the one-handed technique.
ISSN:0196-0709
1532-818X
DOI:10.1016/j.amjoto.2021.103111