Evaluation of the safety and effect of the endoscopic stapes surgery: a multi-center study
10.3760/cma.j.issn.1673-0860.2019.04.005
- VernacularTitle: 内镜下人工镫骨手术安全性和有效性的多中心研究
- Author:
Qiong YANG
1
;
Yu ZHAO
2
;
Zhaohui HOU
3
;
Suijun CHEN
4
;
Youjun YU
5
;
Zhaoyan WANG
6
;
Yang CHEN
7
;
Wuqing WANG
8
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, Shenzhen Sixth People′s Hospital (Nanshan Hospital) , Shenzhen 518052, China
2. Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu 610041, China
3. Department of Otorhinolaryngology Head and Neck Surgery, General Hospital of the People′s Liberation Army, Beijing 100853, China
4. Department of Otorhinolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China
5. Department of Otorhinolaryngology Head and Neck Surgery, the First People′s Hospital of Foshan, Foshan 528000, China
6. Department of Otorhinolaryngology Head and Neck Surgery, Ninth People′s Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China
7. Department of Otorhinolaryngology Head and Neck Surgery, Xijing Hospital, Airforce Military Medical University, Xi′an 710032, China
8. Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat Hospital of Fudan University, National Health Council key Laboratory of Hearing Medicine (Fundan University) , Shanghai 200031, China
- Publication Type:Journal Article
- Keywords:
Endoscopic ear surgery;
Otosclerosis;
Stapes surgery
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(4):262-266
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the safety of endoscopic stapes surgery, and to compare the results with stapes surgery under microscopic approach.
Methods:This was a retrospective study. One hundred and thirty seven patients from Eye Ear Nose and Throat Hospital of Fudan University and other seven hospitals were enrolled in this study. Eighty eight patients, in whom 29 were male, and 59 were female, aged from 29 to 66 years old, with an average of 40.1±10.7, underwent endoscopic stapedotomy and 49 patients, in whom 17 were male, and 33 were female, aged from 32 to 64 yeas old, with an arerage of 38.7±9.2, underwent microscopic stapedotomy for otosclerosis. Interventions included endoscopic and microscopic stapes surgeries. Main outcome measures consisted of operating time, preoperative and postoperative hearing, intraoperative findings, and postoperative complications. SPSS 16.0 software was used to analyzed the date (t test and χ2 test) .
Results:Patients in the group who underwent endoscopic stapes surgery showed a mean operative time of (74.1±26.0) min. Patients in the group treated by microscopic approach had a mean operative time (66.5±15.9) min. Statistical difference was evident (t=1.279, P<0.05) . The average operative time of endoscopic surgery became shorter as the cases increased. The average duration of the last 10 cases was shorter than that of the first 10 cases in both groups. The differences were significant (t value was 3.028, 3.610, both P<0.05). No statistical difference was found in air conduction threshold improvement (t=1.074, P=0.289) , air-bone gap closure (t=-0.135, P=0.893) and bone conduction improvement (t=1.222, P=0.228) between the two groups. No difference regarding the incidence of the postoperative complications (chorda tympanum damage: 6 cases vs 2 cases, χ2=0.08,P>0.05; vertigo:18 cases vs 9 cases,χ2=0.09, P>0.05; facial paralysis: 0 case vs 0 case) between the two groups was found.
Conclusion:Audiological outcomes achieved by endoscopic surgery are similar to the results obtained through a microscopic approach. Endoscopic stapes surgery is safe.
