Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial
Purpose This study aimed to conduct a comparative analysis of audiological and postoperative clinical outcomes between the endoscopic and microscopic stapedotomy approaches. Methods This study employed a randomized, controlled design. Twenty-seven patients with bilateral otosclerosis underwent stape...
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| Veröffentlicht in: | European archives of oto-rhino-laryngology 2024-11, Vol.281 (11), p.5753-5761 |
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| creator | Kaya, İsa Şahin, Fetih Furkan Tanrıverdi, Hasan Eroğlu, Süleyman Kirazli, Tayfun |
| description | Purpose
This study aimed to conduct a comparative analysis of audiological and postoperative clinical outcomes between the endoscopic and microscopic stapedotomy approaches.
Methods
This study employed a randomized, controlled design. Twenty-seven patients with bilateral otosclerosis underwent stapedotomy in both ears, with randomized allocation of the surgical technique (endoscopic vs. microscopic) for the first operated ear. Air-bone gap (ABG) and ABG gain were measured at least 12 months postoperatively. Postoperative outcomes including pain (Visual Analog Scale-VAS), dizziness, early-term (day 1) and late-term (6 months) dysgeusia were evaluated. The Glasgow Benefit Inventory (GBI) assessed health-related quality of life at one month postoperatively, and operative time was measured.
Results
This study compared endoscopic (
n
= 27 ears) and microscopic (
n
= 27 ears) stapedotomy for otosclerosis. Both groups achieved similar hearing improvement with no significant differences in pre-operative and post-operative bone/air conduction thresholds, ABG, and ABG gain (all
p
> 0.05). The endoscopic stapedotomy group demonstrated reduced postoperative pain (lower VAS scores,
p
|
| doi_str_mv | 10.1007/s00405-024-08823-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3079956380</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3079956380</sourcerecordid><originalsourceid>FETCH-LOGICAL-c228t-1360215867c7cbe1bd58a75e95393669a817d93efec2a465eb4feb79c3e8be773</originalsourceid><addsrcrecordid>eNp9kEtv1TAQRi1URC-FP8ACeckmdPyIHbNDV-UhVeqGri3HmVBXiR1sX6T21-P2tiy78lhz5tPMIeQDg88MQJ8XAAl9B1x2MAxcdOoV2TEpZCc1VydkB0boTkqtT8nbUm4BoJdGvCGnwgAww2FH6j6tm8uhpEjTTDFOqfi0BU9dnOgafH7-l-o2nFJN6x0NkdYbpMWtSDdXA8ZavlBHt0Zv6Gv4izS3gLSGe5yoT7HmtCytrDm45R15Pbul4Pun94xcf7v4tf_RXV59_7n_etl5zofaMaGAs35Q2ms_IhunfnC6R9MLI5QybmB6MgJn9NxJ1eMoZxy18QKHEbUWZ-TTMbft9eeApdo1FI_L4iKmQ7ECtDG9EgM0lB_Rh4NLxtluOawu31kG9sG2Pdq2zbZ9tG1VG_r4lH8YV5z-jzzrbYA4AqW14m_M9jYdcmw3vxT7D6dqjQ4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3079956380</pqid></control><display><type>article</type><title>Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Kaya, İsa ; Şahin, Fetih Furkan ; Tanrıverdi, Hasan ; Eroğlu, Süleyman ; Kirazli, Tayfun</creator><creatorcontrib>Kaya, İsa ; Şahin, Fetih Furkan ; Tanrıverdi, Hasan ; Eroğlu, Süleyman ; Kirazli, Tayfun</creatorcontrib><description>Purpose
This study aimed to conduct a comparative analysis of audiological and postoperative clinical outcomes between the endoscopic and microscopic stapedotomy approaches.
Methods
This study employed a randomized, controlled design. Twenty-seven patients with bilateral otosclerosis underwent stapedotomy in both ears, with randomized allocation of the surgical technique (endoscopic vs. microscopic) for the first operated ear. Air-bone gap (ABG) and ABG gain were measured at least 12 months postoperatively. Postoperative outcomes including pain (Visual Analog Scale-VAS), dizziness, early-term (day 1) and late-term (6 months) dysgeusia were evaluated. The Glasgow Benefit Inventory (GBI) assessed health-related quality of life at one month postoperatively, and operative time was measured.
Results
This study compared endoscopic (
n
= 27 ears) and microscopic (
n
= 27 ears) stapedotomy for otosclerosis. Both groups achieved similar hearing improvement with no significant differences in pre-operative and post-operative bone/air conduction thresholds, ABG, and ABG gain (all
p
> 0.05). The endoscopic stapedotomy group demonstrated reduced postoperative pain (lower VAS scores,
p
< 0.001), lower early dysgeusia (3.7% vs. 33.3%,
p
= 0.005), shorter operative time (47.3 vs. 75.4 min,
p
< 0.001) and improved patient-reported outcomes (higher GBI score,
p
= 0.014) when compared to microscopic stapedotomy group. No significant differences were observed in postoperative dizziness or late-term dysgeusia between groups.
Conclusion
This study found similar hearing improvement with both endoscopic and microscopic stapedotomy for otosclerosis. However, the endoscopic approach showed advantages in reduced postoperative pain, early dysgeusia, and operative time, with improved patient-reported quality of life. These findings suggest endoscopic stapedotomy as a valuable alternative to the conventional microscopic approach.</description><identifier>ISSN: 0937-4477</identifier><identifier>ISSN: 1434-4726</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-024-08823-6</identifier><identifier>PMID: 39001920</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Bone Conduction ; Endoscopy - methods ; Female ; Head and Neck Surgery ; Humans ; Male ; Medicine ; Medicine & Public Health ; Microsurgery - methods ; Middle Aged ; Neurosurgery ; Operative Time ; Otology ; Otorhinolaryngology ; Otosclerosis - surgery ; Pain, Postoperative ; Postoperative Complications ; Prospective Studies ; Quality of Life ; Stapes Surgery - methods ; Treatment Outcome</subject><ispartof>European archives of oto-rhino-laryngology, 2024-11, Vol.281 (11), p.5753-5761</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c228t-1360215867c7cbe1bd58a75e95393669a817d93efec2a465eb4feb79c3e8be773</cites><orcidid>0000-0002-4390-1138 ; 0000-0001-7096-4858 ; 0000-0002-5284-8842 ; 0000-0003-3223-6731 ; 0000-0002-6593-9452</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00405-024-08823-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00405-024-08823-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,778,782,27907,27908,41471,42540,51302</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39001920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaya, İsa</creatorcontrib><creatorcontrib>Şahin, Fetih Furkan</creatorcontrib><creatorcontrib>Tanrıverdi, Hasan</creatorcontrib><creatorcontrib>Eroğlu, Süleyman</creatorcontrib><creatorcontrib>Kirazli, Tayfun</creatorcontrib><title>Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial</title><title>European archives of oto-rhino-laryngology</title><addtitle>Eur Arch Otorhinolaryngol</addtitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><description>Purpose
This study aimed to conduct a comparative analysis of audiological and postoperative clinical outcomes between the endoscopic and microscopic stapedotomy approaches.
Methods
This study employed a randomized, controlled design. Twenty-seven patients with bilateral otosclerosis underwent stapedotomy in both ears, with randomized allocation of the surgical technique (endoscopic vs. microscopic) for the first operated ear. Air-bone gap (ABG) and ABG gain were measured at least 12 months postoperatively. Postoperative outcomes including pain (Visual Analog Scale-VAS), dizziness, early-term (day 1) and late-term (6 months) dysgeusia were evaluated. The Glasgow Benefit Inventory (GBI) assessed health-related quality of life at one month postoperatively, and operative time was measured.
Results
This study compared endoscopic (
n
= 27 ears) and microscopic (
n
= 27 ears) stapedotomy for otosclerosis. Both groups achieved similar hearing improvement with no significant differences in pre-operative and post-operative bone/air conduction thresholds, ABG, and ABG gain (all
p
> 0.05). The endoscopic stapedotomy group demonstrated reduced postoperative pain (lower VAS scores,
p
< 0.001), lower early dysgeusia (3.7% vs. 33.3%,
p
= 0.005), shorter operative time (47.3 vs. 75.4 min,
p
< 0.001) and improved patient-reported outcomes (higher GBI score,
p
= 0.014) when compared to microscopic stapedotomy group. No significant differences were observed in postoperative dizziness or late-term dysgeusia between groups.
Conclusion
This study found similar hearing improvement with both endoscopic and microscopic stapedotomy for otosclerosis. However, the endoscopic approach showed advantages in reduced postoperative pain, early dysgeusia, and operative time, with improved patient-reported quality of life. These findings suggest endoscopic stapedotomy as a valuable alternative to the conventional microscopic approach.</description><subject>Adult</subject><subject>Bone Conduction</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Head and Neck Surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Microsurgery - methods</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Operative Time</subject><subject>Otology</subject><subject>Otorhinolaryngology</subject><subject>Otosclerosis - surgery</subject><subject>Pain, Postoperative</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Stapes Surgery - methods</subject><subject>Treatment Outcome</subject><issn>0937-4477</issn><issn>1434-4726</issn><issn>1434-4726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtv1TAQRi1URC-FP8ACeckmdPyIHbNDV-UhVeqGri3HmVBXiR1sX6T21-P2tiy78lhz5tPMIeQDg88MQJ8XAAl9B1x2MAxcdOoV2TEpZCc1VydkB0boTkqtT8nbUm4BoJdGvCGnwgAww2FH6j6tm8uhpEjTTDFOqfi0BU9dnOgafH7-l-o2nFJN6x0NkdYbpMWtSDdXA8ZavlBHt0Zv6Gv4izS3gLSGe5yoT7HmtCytrDm45R15Pbul4Pun94xcf7v4tf_RXV59_7n_etl5zofaMaGAs35Q2ms_IhunfnC6R9MLI5QybmB6MgJn9NxJ1eMoZxy18QKHEbUWZ-TTMbft9eeApdo1FI_L4iKmQ7ECtDG9EgM0lB_Rh4NLxtluOawu31kG9sG2Pdq2zbZ9tG1VG_r4lH8YV5z-jzzrbYA4AqW14m_M9jYdcmw3vxT7D6dqjQ4</recordid><startdate>20241101</startdate><enddate>20241101</enddate><creator>Kaya, İsa</creator><creator>Şahin, Fetih Furkan</creator><creator>Tanrıverdi, Hasan</creator><creator>Eroğlu, Süleyman</creator><creator>Kirazli, Tayfun</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4390-1138</orcidid><orcidid>https://orcid.org/0000-0001-7096-4858</orcidid><orcidid>https://orcid.org/0000-0002-5284-8842</orcidid><orcidid>https://orcid.org/0000-0003-3223-6731</orcidid><orcidid>https://orcid.org/0000-0002-6593-9452</orcidid></search><sort><creationdate>20241101</creationdate><title>Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial</title><author>Kaya, İsa ; Şahin, Fetih Furkan ; Tanrıverdi, Hasan ; Eroğlu, Süleyman ; Kirazli, Tayfun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c228t-1360215867c7cbe1bd58a75e95393669a817d93efec2a465eb4feb79c3e8be773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Bone Conduction</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Head and Neck Surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Microsurgery - methods</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Operative Time</topic><topic>Otology</topic><topic>Otorhinolaryngology</topic><topic>Otosclerosis - surgery</topic><topic>Pain, Postoperative</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Stapes Surgery - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaya, İsa</creatorcontrib><creatorcontrib>Şahin, Fetih Furkan</creatorcontrib><creatorcontrib>Tanrıverdi, Hasan</creatorcontrib><creatorcontrib>Eroğlu, Süleyman</creatorcontrib><creatorcontrib>Kirazli, Tayfun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of oto-rhino-laryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaya, İsa</au><au>Şahin, Fetih Furkan</au><au>Tanrıverdi, Hasan</au><au>Eroğlu, Süleyman</au><au>Kirazli, Tayfun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial</atitle><jtitle>European archives of oto-rhino-laryngology</jtitle><stitle>Eur Arch Otorhinolaryngol</stitle><addtitle>Eur Arch Otorhinolaryngol</addtitle><date>2024-11-01</date><risdate>2024</risdate><volume>281</volume><issue>11</issue><spage>5753</spage><epage>5761</epage><pages>5753-5761</pages><issn>0937-4477</issn><issn>1434-4726</issn><eissn>1434-4726</eissn><abstract>Purpose
This study aimed to conduct a comparative analysis of audiological and postoperative clinical outcomes between the endoscopic and microscopic stapedotomy approaches.
Methods
This study employed a randomized, controlled design. Twenty-seven patients with bilateral otosclerosis underwent stapedotomy in both ears, with randomized allocation of the surgical technique (endoscopic vs. microscopic) for the first operated ear. Air-bone gap (ABG) and ABG gain were measured at least 12 months postoperatively. Postoperative outcomes including pain (Visual Analog Scale-VAS), dizziness, early-term (day 1) and late-term (6 months) dysgeusia were evaluated. The Glasgow Benefit Inventory (GBI) assessed health-related quality of life at one month postoperatively, and operative time was measured.
Results
This study compared endoscopic (
n
= 27 ears) and microscopic (
n
= 27 ears) stapedotomy for otosclerosis. Both groups achieved similar hearing improvement with no significant differences in pre-operative and post-operative bone/air conduction thresholds, ABG, and ABG gain (all
p
> 0.05). The endoscopic stapedotomy group demonstrated reduced postoperative pain (lower VAS scores,
p
< 0.001), lower early dysgeusia (3.7% vs. 33.3%,
p
= 0.005), shorter operative time (47.3 vs. 75.4 min,
p
< 0.001) and improved patient-reported outcomes (higher GBI score,
p
= 0.014) when compared to microscopic stapedotomy group. No significant differences were observed in postoperative dizziness or late-term dysgeusia between groups.
Conclusion
This study found similar hearing improvement with both endoscopic and microscopic stapedotomy for otosclerosis. However, the endoscopic approach showed advantages in reduced postoperative pain, early dysgeusia, and operative time, with improved patient-reported quality of life. These findings suggest endoscopic stapedotomy as a valuable alternative to the conventional microscopic approach.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39001920</pmid><doi>10.1007/s00405-024-08823-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4390-1138</orcidid><orcidid>https://orcid.org/0000-0001-7096-4858</orcidid><orcidid>https://orcid.org/0000-0002-5284-8842</orcidid><orcidid>https://orcid.org/0000-0003-3223-6731</orcidid><orcidid>https://orcid.org/0000-0002-6593-9452</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | European archives of oto-rhino-laryngology, 2024-11, Vol.281 (11), p.5753-5761 |
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| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Bone Conduction Endoscopy - methods Female Head and Neck Surgery Humans Male Medicine Medicine & Public Health Microsurgery - methods Middle Aged Neurosurgery Operative Time Otology Otorhinolaryngology Otosclerosis - surgery Pain, Postoperative Postoperative Complications Prospective Studies Quality of Life Stapes Surgery - methods Treatment Outcome |
| title | Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial |
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