镫骨手术的内镜与显微镜入路比较：一项系统评价
A comparison between endoscopic and microscopic approaches for stapes surgery: a systematic review.
作者信息
Pauna H F, Pereira R C, Monsanto R C, Amaral M S A, Hyppolito M A
机构信息
Department of Ophthalmology, Otorhinolaryngology and Head and Neck Surgery, Ribeirão Preto Medical School / University of São Paulo, Brazil.
Department of Otorhinolaryngology, Head and Neck Surgery, University of Campinas, Brazil.
出版信息
J Laryngol Otol. 2020 May;134(5):398-403. doi: 10.1017/S0022215120000821. Epub 2020 Apr 20.
OBJECTIVES
To evaluate the surgical techniques, approaches, audiological outcomes and complications of endoscopic stapes surgery.
METHODS
Systematic searches of the literature were performed in PubMed, Web of Science and Scopus databases, to identify studies of patients who underwent stapes surgery using endoscopic approaches and studies reporting objective post-operative hearing outcomes. The following information was extracted: surgery duration, complications, surgical technique and audiometric results.
RESULTS
Fourteen studies were selected for appraisal, which included a total of 282 ears subjected to endoscopic stapes surgery. Endoscopic stapes surgery seems to provide adequate visualisation of the middle-ear structures, thereby allowing less invasive surgery and potentially equivalent audiological outcomes as compared with a traditional microscopic approach. Other advantages of endoscopic stapes surgery include decreased surgery time, a reduced need for drilling, and auditory results comparable to those of microscopic techniques.
CONCLUSION
Studies have shown that endoscopic stapes surgery has similar surgical and functional advantages as compared with microscopic surgery.
目的
评估内镜下镫骨手术的手术技术、入路、听力学结果及并发症。
方法
在PubMed、科学网和Scopus数据库中对文献进行系统检索，以识别采用内镜入路进行镫骨手术的患者研究以及报告术后客观听力结果的研究。提取以下信息：手术时长、并发症、手术技术及听力测试结果。
结果
选取14项研究进行评估，共纳入282只接受内镜下镫骨手术的耳。与传统显微镜入路相比，内镜下镫骨手术似乎能提供对中耳结构的充分可视化，从而实现侵入性较小的手术，并可能获得相当的听力学结果。内镜下镫骨手术的其他优点包括手术时间缩短、钻孔需求减少，以及听觉结果与显微镜技术相当。
结论
研究表明，与显微镜手术相比，内镜下镫骨手术具有相似的手术和功能优势。
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