KUMJ | VOL. 19 | NO. 3 | ISSUE 75 | JULY - SEPT. 2021
Endoscopic stapes surgery: How I do it?
Shrestha BL
Abstract: The use of endoscope in the field of ear surgery has done the revolutionary changes.
The optical advantage of endoscope helps the otologist to perform the stapes surgery
very conveniently. The main advantage of the endoscope in stapes surgery over the
microscope is; the better preservation rates of the chorda tympani nerve (CTN),
minimal curetting of the outer attic wall, hence minimizing the iatrogenic injury to
the CTN. Apart from that, the audiometric results following the endoscopic stapes
surgery is comparable with the microscopic surgery. We had performed the stapes
surgery with the rigid nasal endoscopes (Karl Storz) of 4-mm diameter and 18-cm
length. Our preliminary results showed that transcanal endoscopic stapedotomy is
a reliable and safe technique for the surgical management of otosclerosis.
Keyword : Endoscope, Microscope, Otosclerosis, Stapes surgery