Total endoscopic stapes surgery. our technique and experience of 45 cases | [Pakistan Armed Forces Medical Journal • 2021]

Author(s):

1. Muhammad Atif Najam: Combined Military Hospital Kharian Medical College, Kharian/National University of Medical Sciences (NUMS), Pakistan

2. Urwa Sarwar: Combined Military Hospital Kharian Medical College, Kharian/National University of Medical Sciences (NUMS), Pakistan

3. Maqbool Raza: Combined Military Hospital Multan/ National University of Medical Sciences (NUMS), Pakistan

4. Khalid Azam Khan: Combined Military Hospital Lahore/National University of Medical Sciences (NUMS), Pakistan

5. Humaira Saleem: Combined Military Hospital Kharian Medical College, Kharian/National University of Medical Sciences (NUMS), Pakistan

6. Najam-Us-Saqib Niazi: Combined Military Hospital Kharian Medical College, Kharian/National University of Medical Sciences (NUMS), Pakistan

7. Muhammad Rashid: Combined Military Hospital Kharian Medical College, Kharian/National University of Medical Sciences (NUMS), Pakistan

8. Naeem Riaz: Pakistan Naval Ship Hafeez, Islamabad, Pakistan

Abstract:

Objective: To assess the hearing results of transcanal endoscopic stapedotomy Study Design: Descriptive study. Place and Duration of Study: Pakistan Naval Ship Hafeez Islamabad Pakistan, from Jun 2016 to Jun 2020. Methodology: All patients with surgically confirmed otosclerosis were included in the study. All patients were operated with 0-degree 3mm, 14cm rigid endoscope under general anesthesia. Preoperative and post operative air bone gap was noted along with demographic data, middle ear anomalies (persistent stapedial artery, dehiscent facial nerve, anteriorly placed facial nerve, floating foot plate) and injury to chorda tympani. Postoperative air bone gap (A-B Gap) was documented 12 weeks after surgery. All patients were followed up for 6-12 months Results: Mean age of patients was, 37 years and standard deviation was 12.34 (range 27-52 years). Out of total 45 cases 13 were males (29%) and 32 females (71.%). Four (8.8%) patients had dehiscent facial canal and 1 (2.2%) patient had persistent stapedial artery. Average preoperative A-B gap was 35 db and Average Postoperative A-B Gap was 7 db. Chorda tympani was preserved in all cases. One patient (2.2%) complained of altered taste which resolved after 3 months. Four patients had Postoperative vertigo that lasted 2 days on average. Conclusion: Endoscopic trans canal Stapes surgery is scarless safe effective procedure demonstrable hearing benefits in all patients with minimum complications. The Technique is single handed and has steep learning curve.

Page(s): 491-494

DOI: Doi: https://doi.org/10.51253/pafmj.v1i1.7936

Published: Journal: Pakistan Armed Forces Medical Journal, Volume: 71, Issue: S3, Year: 2021

Keywords:

Hearing loss , Endoscopic ear surgery , Stapedotomy , otosclerosis

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