Endoscopic stapedotomy: classic versus reversal technique.

Eur Arch Otorhinolaryngol

Department of Otolaryngology, Faculty of Medicine, Mansoura University, El-Gomhoria Street, Mansoura, Egypt.

Published: August 2023


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Article Abstract

Objectives: To compare hearing outcome and surgical complications between endoscopic classic and reversal stapedotomies.

Patients And Methods: A prospective single blinded randomized clinical study carried out on 60 patients with otosclerosis who were randomized into two groups; each containing 30 patients. Patients in group 1 underwent endoscopic classic stapedotomy. Patients in group 2 underwent endoscopic reversal stapedotomy. Both groups were compared as regards hearing outcome and surgical complications.

Results: The difference in the hearing outcome between the two groups was statistically non-significant. Post-operative closure of the air bone gap (ABG) within 10 dB was attained in 76.67% and 80% of patients in groups 1 and 2, respectively. The differences in the surgical complications between the two studied groups were statistically non-significant.

Conclusion: Endoscopic classic and reversal stapedotomies are comparable to each other as regards hearing outcome and surgical complications. The authors recommend further studies with relatively larger sample size.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10313534PMC
http://dx.doi.org/10.1007/s00405-023-07880-7DOI Listing

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