Endoscopic versus microscopic stapedecomy: Advantage and outcome

Q4 Medicine Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2023-01-01 DOI:10.21608/ejentas.2021.70592.1345

Ayman Mohamdy, B. Mikhail, Mohamed Elsayed, A. Abood, A. Abdelsamie

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Abstract

Objective: To evaluate the surgical outcomes of endoscopic stapedectomy, comparing the results with a conventional stapes surgery under microscopic approach. Patients and Methods: This study was carried out in Otorhinolaryngology Head and Neck Surgery department of both Benha University Hospitals and Hearing & Speech Institute upon 30 patients divided into two groups, each consists of 15 patients, Group A underwent endoscopic stapedectomy, Group B underwent microscopic stapedectomy from June 2019 till March 2020 to evaluate the advantages of endoscopic stapedectomy in comparison to microscopic one. Results: We reported that 14 patients (93.3%) of the endoscopic group showed improvement in hearing, while only one patient (6.7%) complained of recurrent hearing impairment at the 6 th month follow up after lifting heavy object while hearing was very good at 1 st , and 3rd months follow up. All patients (100%) of the microscopic group showed improvement in hearing at 1 st , 3 rd and 6 th months post-operative with nearly closed ABG. Conclusion: Endoscopic surgery is particularly suitable for stapedial disease. Endoscopic stapes surgery can be performed despite a curved and narrow external auditory canal and is minimally invasive, being characterized by little drilling and almost no postoperative pain.

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内镜下与显微下镫骨切除术:优势和结果

目的:评价内镜下镫骨切除术的手术效果，并与常规镫骨镜下手术效果进行比较。患者与方法:本研究于2019年6月至2020年3月在滨海大学附属医院耳鼻喉头颈外科和听力语言研究所开展，将30例患者分为两组，每组15例，A组行内镜下镫骨切除术，B组行内镜下镫骨切除术，比较内镜下镫骨切除术与显微镜下镫骨切除术的优势。结果:内镜组14例(93.3%)患者听力改善，仅1例(6.7%)患者在举重后随访6个月听力复发，随访1、3个月听力均良好。显微镜组所有患者(100%)术后1、3、6个月听力均有改善，ABG接近闭合。结论:内镜手术特别适用于镫骨疾病。尽管外耳道弯曲狭窄，内窥镜镫骨手术仍然可以进行，并且微创，其特点是钻孔少，几乎没有术后疼痛。

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来源期刊

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

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0.20

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0.00%

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期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.