Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope

Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of th...
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Gespeichert in:

Autor*in:	Pradhan, Pradeep [verfasserIn] Preetam, Chappity [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	Endoscopic stapedotomy Nasal endoscopes Surgical outcome

Übergeordnetes Werk:	Enthalten in: European archives of oto-rhino-laryngology and head & neck - Berlin : Springer, 1864, 276(2019), 11 vom: 07. Aug., Seite 3035-3041
Übergeordnetes Werk:	volume:276 ; year:2019 ; number:11 ; day:07 ; month:08 ; pages:3035-3041

Links:	Volltext

DOI / URN:	10.1007/s00405-019-05592-5

Katalog-ID:	SPR005216125

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520			\|a Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal.
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publishDate	2019
allfields	10.1007/s00405-019-05592-5 doi (DE-627)SPR005216125 (SPR)s00405-019-05592-5-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Pradhan, Pradeep verfasserin aut Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal. Endoscopic stapedotomy (dpeaa)DE-He213 Nasal endoscopes (dpeaa)DE-He213 Surgical outcome (dpeaa)DE-He213 Preetam, Chappity verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 276(2019), 11 vom: 07. Aug., Seite 3035-3041 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041 https://dx.doi.org/10.1007/s00405-019-05592-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 276 2019 11 07 08 3035-3041
spelling	10.1007/s00405-019-05592-5 doi (DE-627)SPR005216125 (SPR)s00405-019-05592-5-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Pradhan, Pradeep verfasserin aut Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal. Endoscopic stapedotomy (dpeaa)DE-He213 Nasal endoscopes (dpeaa)DE-He213 Surgical outcome (dpeaa)DE-He213 Preetam, Chappity verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 276(2019), 11 vom: 07. Aug., Seite 3035-3041 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041 https://dx.doi.org/10.1007/s00405-019-05592-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 276 2019 11 07 08 3035-3041
allfields_unstemmed	10.1007/s00405-019-05592-5 doi (DE-627)SPR005216125 (SPR)s00405-019-05592-5-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Pradhan, Pradeep verfasserin aut Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal. Endoscopic stapedotomy (dpeaa)DE-He213 Nasal endoscopes (dpeaa)DE-He213 Surgical outcome (dpeaa)DE-He213 Preetam, Chappity verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 276(2019), 11 vom: 07. Aug., Seite 3035-3041 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041 https://dx.doi.org/10.1007/s00405-019-05592-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 276 2019 11 07 08 3035-3041
allfieldsGer	10.1007/s00405-019-05592-5 doi (DE-627)SPR005216125 (SPR)s00405-019-05592-5-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Pradhan, Pradeep verfasserin aut Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal. Endoscopic stapedotomy (dpeaa)DE-He213 Nasal endoscopes (dpeaa)DE-He213 Surgical outcome (dpeaa)DE-He213 Preetam, Chappity verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 276(2019), 11 vom: 07. Aug., Seite 3035-3041 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041 https://dx.doi.org/10.1007/s00405-019-05592-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 276 2019 11 07 08 3035-3041
allfieldsSound	10.1007/s00405-019-05592-5 doi (DE-627)SPR005216125 (SPR)s00405-019-05592-5-e DE-627 ger DE-627 rakwb eng 610 ASE 44.94 bkl Pradhan, Pradeep verfasserin aut Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal. Endoscopic stapedotomy (dpeaa)DE-He213 Nasal endoscopes (dpeaa)DE-He213 Surgical outcome (dpeaa)DE-He213 Preetam, Chappity verfasserin aut Enthalten in European archives of oto-rhino-laryngology and head & neck Berlin : Springer, 1864 276(2019), 11 vom: 07. Aug., Seite 3035-3041 (DE-627)253722667 (DE-600)1459042-6 1434-4726 nnns volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041 https://dx.doi.org/10.1007/s00405-019-05592-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.94 ASE AR 276 2019 11 07 08 3035-3041
language	English
source	Enthalten in European archives of oto-rhino-laryngology and head & neck 276(2019), 11 vom: 07. Aug., Seite 3035-3041 volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041
sourceStr	Enthalten in European archives of oto-rhino-laryngology and head & neck 276(2019), 11 vom: 07. Aug., Seite 3035-3041 volume:276 year:2019 number:11 day:07 month:08 pages:3035-3041
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Endoscopic stapedotomy Nasal endoscopes Surgical outcome
dewey-raw	610
isfreeaccess_bool	false
container_title	European archives of oto-rhino-laryngology and head & neck
authorswithroles_txt_mv	Pradhan, Pradeep @@aut@@ Preetam, Chappity @@aut@@
publishDateDaySort_date	2019-08-07T00:00:00Z
hierarchy_top_id	253722667
dewey-sort	3610
id	SPR005216125
language_de	englisch
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We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. 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author	Pradhan, Pradeep
spellingShingle	Pradhan, Pradeep ddc 610 bkl 44.94 misc Endoscopic stapedotomy misc Nasal endoscopes misc Surgical outcome Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope
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topic_title	610 ASE 44.94 bkl Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope Endoscopic stapedotomy (dpeaa)DE-He213 Nasal endoscopes (dpeaa)DE-He213 Surgical outcome (dpeaa)DE-He213
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title	Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope
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title_full	Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope
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author_browse	Pradhan, Pradeep Preetam, Chappity
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title_sort	endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope
title_auth	Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope
abstract	Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal.
abstractGer	Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal.
abstract_unstemmed	Background Although, both the microscopic and endoscopic stapes surgery have claimed a parallel audiological outcome, the comparison between two standard endoscopes (4 mm and 3 mm) in endoscopic stapedotomy is not well documented. We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). Conclusion Both 3 mm and 4 mm nasal endoscopes can be successfully used in the endoscopic stapedotomy providing a parallel visual field. Although, comparable results can be obtained in preserving the chorda tympani nerve, tympanic membrane, facial nerve, and postoperative giddiness including the audiological outcomes, the requirement of the canaloplasty and curettage of posterior bony canal can be significantly reduced in patients operated with 3 mm nasal endoscope, especially in patients with narrow/over angulated external auditory canal.
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title_short	Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope
url	https://dx.doi.org/10.1007/s00405-019-05592-5
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doi_str	10.1007/s00405-019-05592-5
up_date	2024-07-03T14:48:21.507Z
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We have compared the clinical utility and audiological outcomes of the 3 mm and 4 mm rigid nasal endoscopes in the primary endoscopic stapedotomy. Materials and methods This is a retrospective study conducted in the Department of Otorhinolaryngology between June 2015 and May 2018. Total 46 patients of primary otosclerosis had undergone endoscopic stapedotomy where 3 mm and 4 mm nasal endoscopes have been used in 22 (group A) and 24 patients (group B) respectively. The preoperative, intraoperative and postoperative surgical findings including the hearing outcomes were compared between the two groups. Results One patient (4.5%) in group A and 6 (25%) patients in group B required canaloplasty (p = 0.00, χ2 test) and 7 (31.18%) patients in group A and 18(75%) in group B had required curettage of the bony canal wall (p = 0.04, χ2 test). There was no significant difference in the air–bone gap between the two groups (p = 0.85). 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Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope

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