Endoscopic stapedotomy: classic versus reversal technique

Waleed Moneir; Yasser Wafeek Khafagy; Nada Nagah Salem; Ahmed Hemdan

doi:10.1007/s00405-023-07880-7

Endoscopic stapedotomy: classic versus reversal technique

Eur Arch Otorhinolaryngol. 2023 Aug;280(8):3653-3659. doi: 10.1007/s00405-023-07880-7. Epub 2023 Feb 17.

Authors

Waleed Moneir¹, Yasser Wafeek Khafagy¹, Nada Nagah Salem¹, Ahmed Hemdan²

Affiliations

¹ Department of Otolaryngology, Faculty of Medicine, Mansoura University, El-Gomhoria Street, Mansoura, Egypt.
² Department of Otolaryngology, Faculty of Medicine, Mansoura University, El-Gomhoria Street, Mansoura, Egypt. drahmedhemdan86@mans.edu.eg.

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.

Keywords: Classic; Endoscopic; Reversal; Stapedotomy.

Publication types

Randomized Controlled Trial

MeSH terms

Ear, Middle
Hearing
Humans
Otosclerosis* / surgery
Prospective Studies
Retrospective Studies
Stapes Surgery* / methods
Treatment Outcome