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ISSN 0120-8411 (Print)
Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2020, Number 1

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Acta de Otorrinolaringología CCC 2020; 48 (1)

Total endoscopic stapedotomy for otosclerosis: the experience of a hospital in Bogota

Campos MÁM, Otoya-Tono AM, Piñeros L, Prieto-Sánchez K, Mosquera-Díaz AM

Language: Spanish
References: 28
Page: 33-45
PDF size: 605.96 Kb.


ABSTRACT

Objective: to describe the experience in the surgical management of otosclerosis with total endoscopic stapedotomy in the Otology Department of the Hospital Universitario Infantil de San José in Bogotá, between January 2017 and December 2018. Methods: descriptive case series. Patients diagnosed with otosclerosis who were managed with endoscopic stapedotomy were evaluated to determine preoperative audiologic testing, details of the surgical technique, auditory outcomes and complications. Results: ten cases of otosclerosis managed with endoscopic stapedotomy were included. The median preoperative air-bone gap (ABG) was 22,4 DB (IQR 15.6-28.3) and in the speech audiometry the median speech discrimination was 100% at 72.5 dB (IQR 67.5-77, 5). The postoperative ABG was 5.3 dB (IQR 3,87- 6,61) and in the speech audiometry the median speech discrimination was 100% at 50 dB with a (IQR 46.25-61.25). 90% of the patients required mobilization of the corda tympani nerve and none required section of it. 90% required drilling or curettage of the scutum. 30% presented with grade 1 facial nerve prolapse. 30% presented disgeusia, 60% immediate postoperative vertigo with resolution at 3 months and no patient presented pain in immediate postoperative. Conclusion: endoscopic stapedotomy for the management of otosclerosis has proven to be a safe treatment option with high success rates, auditory improvement with a successful ABG closure and low risk of complications.


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