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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
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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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This is approved for 0.5 AMA PRA Category 1 Credit™ via CineMed (ACCME / ACPE / ANCC). The two viewing modes are different — pick what fits your time.
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