Ossicular chain reconstruction: endoscopic or microscopic?

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To compare the results of endoscopic and microscopic ossicular chain reconstruction surgery.Patients undergoing ossicular chain reconstruction surgery via an endoscopic (n = 31) or microscopic (n = 34) technique were analysed for age, gender, Middle Ear Risk Index, ossicular chain defect, incision type, ossicular chain reconstruction surgery material, mean air conduction threshold, air-bone gap, air-bone gap gain, word recognition score, mean operation duration and mean post-operative follow up.Post-operative air conduction, air-bone gap and word recognition score improved significantly in both groups (within-subject p < 0.001 for air conduction and air-bone gap, and 0.026 for word recognition score); differences between groups were not significant (between-subject p = 0.192 for air conduction, 0.102 for air-bone gap, and 0.709 for word recognition score). Other parameters were similar between groups, except for incision type. However, endoscopic ossicular chain reconstruction surgery was associated with a significantly shorter operation duration (p < 0.001).Endoscopic ossicular chain reconstruction surgery can achieve comparable surgical and audiological outcomes to those of microscopic ossicular chain reconstruction surgery in a shorter time.

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This is an abstract of the clinical research article “Ossicular chain reconstruction: endoscopic or microscopic?” This clinical research article was published in the medical journal The Journal of laryngology and otology on 2021-01-07 and has been categorised as belonging to the clinical specialty of ENT. To read the full clinical research article or obtain a PDF (if available) use the links directly above. To discover more of the latest ENT clinical research articles from the medical journal The Journal of laryngology and otology please click the link below. For more of the latest ENT research articles from other leading medical journals click the link that says ENT next to the stethoscope icon at the top of the page. You can further filter clinical research articles by sub-specialties within ENT using the navigation menu at the top of the page.