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Endoscopic Stapedotomy: Classic Versus Reversal Technique

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Date 2023 Feb 16
PMID 36797512
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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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Techniques for otosclerosis surgery: Ear surgery from the microscope to the endoscope - A literature review.

Gherasie L, Voiosu C, Bartel R, Hainarosie R, Ionita I, Zica M J Otol. 2024; 19(2):120-126.

PMID: 39720114 PMC: 11665944. DOI: 10.1016/j.joto.2024.04.002.

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