Endoscopic versus microscopic stapedecomy : advantage and outcome

الملخص EN

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 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.