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Pediatric Stapes Surgery: Hearing and Surgical Outcomes in Endoscopic vs Microscopic Approaches

2019; Wiley; Volume: 161; Issue: 1 Linguagem: Inglês

10.1177/0194599819836679

1097-6817

Anthony M. Tolisano, Miles R. Fontenot, Ashley M. Nassiri, Jacob B. Hunter, Joe Walter Kutz, Alejandro Rivas, Brandon Isaacson,

Ear and Head Tumors

To compare endoscopic and microscopic pediatric stapes surgery.Case series with chart review.Two academic otology practices.Surgical and hearing outcomes were compared for consecutive children ( 15 dB) did not occur in any patients in the endoscopic group but was present in 2 patients in the microscopic group (P = .546). Improvement in pure-tone average (25.9 dB vs 18.5 dB, P = .382) and ABG (21.7 dB vs 14.7 dB, P = .181) was similar, and postoperatively, the median ABG was 11.3 dB and 15.0 dB for endoscopic and microscopic cases (P = .703), respectively. ABG closure to ≤20 dB (72.7% vs 65.2%, P = .591) was also similar.Pediatric endoscopic stapes surgery is safe and hearing outcomes are similar to the microscopic approach when performed by experienced endoscopic ear surgeons.