Functional Results and Learning Curve of Endoscopic Stapes Surgery: A 10-Year Experience.
Endoscopic ear surgery
cumulative sum control chart
learning curve
stapedotomy
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
03
04
2020
revised:
24
06
2020
accepted:
25
06
2020
pubmed:
31
10
2020
medline:
7
4
2021
entrez:
30
10
2020
Statut:
ppublish
Résumé
To assess hearing outcomes and complications of endoscopic stapes surgery by a single surgeon in a 10-year period, to compare these data with conventional microscopic procedures by the same operator, and to describe the learning curve of endoscopic stapedotomy. Retrospective study. This is a retrospective study on patients who underwent endoscopic stapes surgery performed by the same senior surgeon, experienced both in microscopic and endoscopic techniques, between January 2009 and December 2018. Audiological data were compared, and intraoperative and postoperative complications were collected. The surgeon's last 30 cases of microscopic stapedotomy were enrolled as the control group. The results of the first 100 endoscopic stapes surgeries were analyzed separately to create a cumulative sum (CUSUM) control chart for learning curve assessment. One hundred seventy-eight endoscopic and 30 microscopic stapes surgeries were included. In the endoscopic group, the mean postoperative air-bone gap was 8.2 dB. No significant differences between the endoscopic and microscopic preoperative and postoperative values were reported. A total of eight complications (4.5%) were observed in the endoscopic cohort, although in the control group, no complication occurred. The mean surgical time was 51.9 minutes in the endoscopic group versus 48.2 minutes in the microscopic group (P > .05). No association between stapedotomy success and the increasing number of procedures was found. Our article demonstrates that functional results from endoscopic stapes surgery are similar to those from microscopic stapes surgery in terms of both safety and efficacy. After gaining endoscopic experience, the surgical duration of stapes surgery will be adequate starting from the first cases. 4 Laryngoscope, 131:885-891, 2021.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
885-891Informations de copyright
© 2020 The American Laryngological, Rhinological and Otological Society, Inc.
Références
Poe DS. Laser-assisted endoscopic stapedectomy: a prospective study. Laryngoscope 2000;110:1-30.
Nogueira JF, Martins MJB, Aguiar CV, et al. Fully endoscopic stapes surgery (stapedotomy): technique and preliminary results. Braz J Otorhinolaryngol 2011;77:721-727.
Kojima H, Komori M, Chikazawa S, et al. Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 2014;124:266-271.
Sarkar S, Banerjee S, Chakravarty S, Singh R, Sikder B, Bera SP. Endoscopic stapes surgery: our experience in thirty-two patients. Clin Otolaryngol 2013;38:157-160.
Fernandez IJ, Villari D, Botti C, Presutti L. Endoscopic revision stapes surgery: surgical findings and outcomes. Eur Arch Otorhinolaryngol 2019;276:703-710.
Fernandez IJ, Bonali M, Fermi M, et al. The role of endoscopic stapes surgery in difficult oval window niche anatomy. Eur Arch Otorhinolaryngol 2019;276:1897-1905.
Hunter JB, Zuniga MG, Leite J, et al. Surgical and audiologic outcomes in endoscopic stapes surgery across 4 institutions. Otolaryngol Head Neck Surg 2016;154:1093-1098.
Kozin ED, Gulati S, Kaplan AB, et al. Systematic review of outcomes following observational and operative endoscopic middle ear surgery. Laryngoscope 2015;125:1205-1214.
Hughes GB. The learning curve in stapes surgery. Laryngoscope 1991;101:1280-1284.
Iannella G, Magliulo G. Endoscopic versus microscopic approach in stapes surgery: are operative times and learning curve important for making the choice? Otol Neurotol 2016;37:1350-1357.
Sergi B, Paludetti G. Can the learning curve in stapes surgery predict future functional outcome? Acta Otorhinolaryngol Ital 2016;36:135-138.
Sergi B, Lucidi D, De Corso E, Paludetti G. Long-term follow-up after “one-shot” CO2 laser stapedotomy: is the functional outcome stable during the years? Eur Arch Otorhinolaryngol 2016;273:3623-3629.
Quaranta N, Piccininni K, Romanello M, Lucidi D, Sergi B. The impact of intra-operative factors in otosclerosis outcomes: retrospective study in a tertiary centre. Acta Otorhinolaryngol Ital 2019;39:197-204.
Tekkis PP, Senagore AJ, Delaney CP, Fazio VW. Evaluation of the learning curve in laparoscopic colorectal surgery: comparison of right-sided and left-sided resections. Ann Surg 2005;242:83-91.
Axelrod DA, Guidinger MK, Metzger RA, Wiesner RH, Webb RL, Merion RM. Transplant center quality assessment using a continuously updatable, risk-adjusted technique (CUSUM). Am J Transplant 2006;6:313-323.
Watson GJ, Byth K, Da Cruz M. Outcomes in stapedotomy surgery: the learning curve redefined. Otol Neurotol 2015;36:1601-1603.
Lovato A, Kraak J, Hensen EF, et al. A critical look into stapedotomy learning curve: influence of patient characteristics and different criteria defining success [published online September 26, 2019]. Ear Nose Throat J. 2019;145561319866825. https://doi.org/10.1177/0145561319866825.
Fisch U. Tympanoplasty and Stapedectomy. 2nd ed. Thieme: Stuttgart, Germany; 1980:82.
Fisch U. Stapedotomy versus stapedectomy. Am J Otolaryngol 1982;4:112-117.
Gurgel RK, Jackler RK, Dobie RA, Popelka GR. A new standardized format for reporting hearing outcome in clinical trials. Otolaryngol Head Neck Surg 2012;147:803-807.
Sproat R, Yiannakis C, Iyer A. Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 2017;38:662-666.
Hall AC, Mandavia R, Selvadurai D. Total endoscopic stapes surgery: systematic review and pooled analysis of audiological outcomes. Laryngoscope 2020;130:1282-1286.
Nikolaos T, Aikaterini T, Dimitrios D, et al. Does endoscopic stapedotomy increase hearing restoration rates comparing to microscopic? A systematic review and meta-analysis. Eur Arch Otorhinolaryngol 2018;275:2905-2913.
Koukkoullis A, Tóth I, Gede N, et al. Endoscopic versus microscopic stapes surgery outcomes: a meta-analysis and systematic review [published online November 12, 2019]. Laryngoscope. 2020;130:2019-2027.
Vincent R, Sperling NM, Oates J, et al. Surgical findings and long-term hearing results in 3,050 stapedotomies for primary otosclerosis: a prospective study with the otology-neurotology database. Otol Neurotol 2006;27:S25-S47.
Shah PV, Kozin ED, Remenschneider AK, et al. Prolonged radiant exposure of the middle ear during transcanal endoscopic ear surgery. Otolaryngol Head Neck Surg 2015;153:102-104.
Botti C, Fermi M, Amorosa L, et al. Cochlear function after type-1 tympanoplasty: endoscopic versus microscopic approach, a comparative study. Eur Arch Otorhinolaryngol 2020;277:361-366.
Marchioni D, Rubini A, Gazzini L, et al. Complications in endoscopic ear surgery. Otol Neurotol 2018;39:1012-1017.
Bianconi L, Gazzini L, Laura E, de Rossi S, Conti A, Marchioni D. Endoscopic stapedotomy: safety and audiological results in 150 patients. Eur Arch Otorhinolaryngol 2020;277:85-92.
Nassiri AM, Yawn RJ, Dedmon MM, et al. Primary endoscopic stapes surgery: audiologic and surgical outcomes. Otol Neurotol 2018;39:1095-1101.
Gulsen S, Karatas E. Comparison of surgical and audiological outcomes of endoscopic and microscopic approach in stapes surgery. Pak J Med Sci 2019;35:1387-1391.
Naik C, Nemade S. Endoscopic stapedotomy: our view point. Eur Arch Otorhinolaryngol 2016;273:37-41.
Daneshi A, Jahandideh H. Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 2016;273:631-634.
Surmelioglu O, Ozdemir S, Tarkan O, Tuncer U, Dagkiran M, Cetik F. Endoscopic versus microscopic stapes surgery. Auris Nasus Larynx 2017;44:253-257.
Alicandri-Ciufelli M, Marchioni D, Pavesi G, Canzano F, Feletti A, Presutti L. Acquisition of surgical skills for endoscopic ear and lateral skull base surgery: a staged training programme. Acta Otorhinolaryngol Ital 2018;38:151-159.
Yung MW, Oates J, Vowler SL. The learning curve in stapes surgery and its implication to training. Laryngoscope 2006;116:67-71.