Staff Members - Benha University
Endoscopic versus microscopic stapedecomy; Advantage and outcome
• 2021
Publication Information
Authors
Ayman A. Mohamdy, Bassem F. Mikhail, Mohammed A. Elsayed, ahmed Abood, Alaa M. Abdelsamie
Keywords
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Journal
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Volume
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Issue
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Pages
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publication.type
Local
Paper Link
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Supplementary Materials
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Abstract
ABSTRACT
Object: To evaluate the surgical outcomes of endoscopic stapedectomy, comparing the results with a conventional stapes surgery under microscopic approach.
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 6th month follow up after lifting heavy object while hearing was very good at 1st, and 3rd months follow up .All patients (100%) of the microscopic group showed improvement in hearing at 1st, 3rd and 6th 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.
Object: To evaluate the surgical outcomes of endoscopic stapedectomy, comparing the results with a conventional stapes surgery under microscopic approach.
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 6th month follow up after lifting heavy object while hearing was very good at 1st, and 3rd months follow up .All patients (100%) of the microscopic group showed improvement in hearing at 1st, 3rd and 6th 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.