경외이도 내시경 등골 수술: 서술적 고찰
Transcanal Endoscopic Stapes Surgery: A Narrative Review
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Stapes surgery has evolved from stapes mobilization to stapedotomy, which was initially per- formed using a surgical loop and is now done using an operating microscope. The improve- ment of endoscopic systems is attributed to the advancement of optical and medical engineer- ing technologies, and has made endoscopic ear surgery a popular choice for various middle ear surgeries. In particular, endoscopic stapes surgery (ESS) has an advantage over the con- ventional microscopic stapes surgery (MSS) because it provides a wide-angled and magnified view of the middle ear structures, including the stapes, during surgery. All stapes surgical procedures can be performed exclusively using the transcanal endoscopic approach. More- over, the postoperative hearing outcomes of ESS are comparable to those of conventional MSS. However, being a one-handed procedure with a steep learning curve, ESS can be an alterna- tive to the conventional MSS, provided that the surgeon understands the advantages and dis- advantages and is properly trained.
Abstract
Stapes surgery has evolved from stapes mobilization to stapedotomy, which was initially per- formed using a surgical loop and is now done using an operating microscope. The improve- ment of endoscopic systems is attributed to the advancement of optical and medical engineer- ing technologies, and has made endoscopic ear surgery a popular choice for various middle ear surgeries. In particular, endoscopic stapes surgery (ESS) has an advantage over the con- ventional microscopic stapes surgery (MSS) because it provides a wide-angled and magnified view of the middle ear structures, including the stapes, during surgery. All stapes surgical procedures can be performed exclusively using the transcanal endoscopic approach. More- over, the postoperative hearing outcomes of ESS are comparable to those of conventional MSS. However, being a one-handed procedure with a steep learning curve, ESS can be an alterna- tive to the conventional MSS, provided that the surgeon understands the advantages and dis- advantages and is properly trained.