Pediatric Endoscopic Ossiculoplasty Following Surgery for Chronic Ear Disease.
Endoscopic
chronic ear
hearing loss
ossiculoplasty
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
16
08
2019
revised:
29
12
2019
accepted:
04
01
2020
pubmed:
6
2
2020
medline:
22
1
2021
entrez:
6
2
2020
Statut:
ppublish
Résumé
Rigid endoscopes can improve visualization of the tympanic space compared to traditional microscopic techniques. This study investigates whether use of transcanal endoscopic ossiculoplasty influences audiologic outcomes compared to microscopic ossiculoplasty following chronic ear surgery in children. Comparative cohort study at two tertiary care centers. Retrospective review of pediatric chronic ear cases where ossiculoplasty was performed from February 2009 to March 2018. We identified 100 ears that underwent endoscopic ossiculoplasty and 100 ears that underwent microscopic ossiculoplasty. The mean age was 11 years (range, 4-18 years) with 63% males. There were no significant differences in these parameters between the two groups. Subjects underwent either primary ossiculoplasty or ossiculoplasty during second-look procedures. There was no significant difference in air conduction pure tone average (PTA) after microscopic cases compared to endoscopic cases (-12.5 dB vs. -10.5 dB, P = .40). These results were independent of prosthesis type. Microscopic ossiculoplasty was significantly more likely to use a post-auricular approach (P = .0001). There was no difference in complication rate between the two groups. The malleus was more likely to be absent or removed prior to endoscopic ossiculoplasty (P = .0004) with no significant difference in the change in PTA between groups. Transcanal endoscopic ossiculoplasty was found to have equivalent audiometric outcomes with significantly fewer post-auricular approaches and no increase in complications compared to microscopic ossiculoplasty. While the malleus was more likely to be absent in endoscopic cases, this did not appear to influence the change in PTA. 4 Laryngoscope, 2020.
Types de publication
Comparative Study
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
2896-2899Informations de copyright
© 2020 The American Laryngological, Rhinological and Otological Society, Inc.
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