Endoscopic Stapedotomy
Endoscopic ear surgery is an emerging technique championed for its improved visualization within the middle ear space. Stapes surgery presents a unique endoscopic challenge in that it offers a different type of depth perception compared to the binocular microscopic view. This video highlights the surgical steps for an endoscopic stapedotomy using a CO2 laser and Eclipse nitinol piston. The stapes footplate and stapedotomy are well visualized with the endoscope. Just like in endoscopic sinus surgery, depth perception is achieved through muscle-memory and camera movement.
Author: Cameron C. Wick, MD
Institution: Department of Otolaryngology – Head and Neck, Washington University School of Medicine in St. Louis, St. Louis, MO, USA
Email: cameron.wick@wustl.edu
None
1. Hunter JB, Zuniga MG, Leite J, Killeen D, Wick C, Ramirez J, Rivas JA, Nogueira JF, Isaacson B, Rivas A. Surgical and audiologic outcomes in endoscopic stapes surgery across 4 institutions. Otolaryngol Head Neck Surg. 2016;154(6):1093-1098.
2. Nassiri AM, Yawn RJ, Dedmon MM, Tolisano AM, Hunter JB, Isaacson B, Rivas A. Primary endoscopic stapes surgery: Audiologic and surgical outcomes. Otol Neurotol. 2018;39(9):1095-1101.
3. 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(9):1350-1357.
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