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Stapedotomy using skeeter drill and self-retaining ear canal retractor: a single surgeon's 1000-plus surgical procedure experience.
- Source :
-
Journal of Laryngology & Otology . Nov2022, Vol. 136 Issue 11, p1081-1086. 6p. - Publication Year :
- 2022
-
Abstract
- Objective: This study aimed to evaluate the long-term hearing outcomes in stapedotomy surgery using skeeter oto-drill and to assess safety in difficult situations. Method: A retrospective study was conducted with 944 patients who underwent 1007 stapedotomy procedures over 16 years, performed by a single surgeon using a trans-canal approach and a self-retaining ear canal retractor. Hearing thresholds were calculated over four frequencies. Air–bone conduction hearing thresholds were obtained at 1, 5 and 10 years post-operatively and compared to the pre-operative records. Results: Out of 1007 operated ears with one year follow up, 98.61 per cent of cases showed a negligible air–bone gap of equal to or less than 5 dB, 1.19 per cent of cases showed an air–bone gap equal to or more than 5 dB but less than 10 dB, and only 0.2 per cent of cases showed an air–bone gap of more than 10 dB. Conclusion: In this study, using skeeter drill with a 0.6 mm diamond burr to make the fenestra was constant in all the cases and one of the safest techniques, showing persistent long-term hearing results. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HEARING
*OPERATIVE otolaryngology
*STAPEDIUS muscle
*ANALYSIS of variance
*HEARING levels
*PREOPERATIVE period
*RETROSPECTIVE studies
*BONE conduction
*ACQUISITION of data
*TREATMENT effectiveness
*T-test (Statistics)
*OTOSCLEROSIS
*AUDIOMETRY
*DESCRIPTIVE statistics
*MEDICAL records
*CASE studies
*POSTOPERATIVE period
*DATA analysis software
*LONGITUDINAL method
*EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 00222151
- Volume :
- 136
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Journal of Laryngology & Otology
- Publication Type :
- Academic Journal
- Accession number :
- 159754265
- Full Text :
- https://doi.org/10.1017/S0022215121004618