Otolaryngology-Head and Neck Surgery Department and Research Center, Rasool-e Akram Hospital, Iran University of Medical Sciences, Sattarkhan-Niyayesh, Tehran, Iran.
Otolaryngology-Head and Neck Surgery Department, Firoozgar Hospital, Iran University of Medical Sciences, Valiasr Sq-Behafarin St, Tehran, Iran.
Eur Arch Otorhinolaryngol. 2016 Mar;273(3):631-4. doi: 10.1007/s00405-015-3614-9. Epub 2015 Mar 31.
Many difficulties might be encountered during conventional stapes surgery. However, the good exposure provided by the endoscope can facilitate this procedure. The present study addresses the effectiveness of endoscopic stapes surgery with regard to the operation time and patients' convenience and satisfaction. 19 patients underwent endoscopic stapes surgery without packing. 15 patients who experienced the microscopic stapes surgery served as the comparison group. Audiometric results and the patients' satisfaction as measured by visual analog scale in both group were compared. Audiometric results were similar in both groups. Nevertheless, the endoscopic method was accompanied by shorter operation time and more comfort for the patients. Totally endoscopic stapes surgery can be done in much shorter time without major difficulties and without need to pack ear canal after surgery. Far less dissection and incision as well as patients' more satisfaction make this technique as a good alternative to the microscopic approach to stapes surgery.
在常规镫骨手术中可能会遇到许多困难。然而，内窥镜提供的良好暴露可以促进这一过程。本研究旨在探讨内镜镫骨手术在手术时间、患者便利性和满意度方面的效果。19 名患者接受了无填塞的内镜镫骨手术。15 名接受显微镜下镫骨手术的患者作为对照组。比较两组的听力结果和视觉模拟量表评估的患者满意度。两组的听力结果相似。然而，内镜方法手术时间更短，患者更舒适。全内镜镫骨手术可以在更短的时间内完成，没有大的困难，术后也不需要填塞耳道。更少的解剖和切口以及患者更高的满意度使得这项技术成为镫骨手术显微镜入路的良好替代方法。
