Endoscopic Stapedotomy: Comparison of Results

By June 7, 2019

Testa, Jose Ricardo1,2; Gallardo, Fernanda1; Lira, Francisco1
1 Universidade Federal de São Paulo – UNIFESP
2 Hospital Paulista

To compare the results of stapedotomy performed with the microscope with that performed by endoscopic approach, as well as possible differences in the incidence of postoperative complications.

A cross-sectional study of all patients diagnosed with otosclerosis who underwent stapedotomy from February 1994 to June 2018. The patients were divided into group I (microscope) and group II (endoscopy). Air-bone gap, bone conduction PTA, and pre and postoperative WRS were evaluated, as well as complications in both groups, and compared to each other. Overall, 180 patients and 200 procedures were identified. All surgeries were done by the same surgeon.

There was no statistical difference between the groups, either at the closure of the air-bone gap, bone conduction PTA variation or WRS. The incidence of complications was also similar among the groups.

Endoscope can be used to perform stapedotomy, with good results and low incidence of complications.