Evidence map›Paper›PMID 33001293›Full record

SynthesisEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021

Endoscopic stapes surgery outcomes and complication rates: a systematic review.

Ricardo Bartel, Juan Jose Sanz, Ignacio Clemente, Gabriela Simonetti, Guillem Viscacillas, Laura Palomino, Isabel Asarta, Xavier Lao

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 30 citations in OpenAlex.

  1. Comparison of endoscopic and microscopic stapedotomy in the same patients: a prospective randomized controlled trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Trial
  2. Endoscopic stapedotomy: classic versus reversal technique.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Trial
  3. Use of a Flexible Ruler in Measuring the Length of Artificial Stapes During Stapedotomy Under Otoendoscopy.Medical science monitor : international medical journal of experimental and clinical research · 2023
    Trial
  4. Article
  5. Subjective Visual Vertical Can be an Effective Tool to Evaluate Vestibular Function of Stapedotomy.World journal of otorhinolaryngology - head and neck surgery · 2025
    Article
  6. Article
  7. Review
  8. [The application of endoscope and microscope in the stapes surgeries].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  9. Article
  10. The utility and safety of diode laser in endoscopic stapes surgery.Laryngoscope investigative otolaryngology · 2023
    Article
  11. Taste impairment after endoscopic stapes surgery: Do anatomic variability of chorda tympani and surgical technique matter? : Post-operative dysgeusia after EStS.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2022
    Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 2 countries.

Ricardo BartelOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain. ricardobartel@hotmail.com.ORCID http://orcid.org/0000-0003-4987-1117
Juan Jose SanzOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
Ignacio ClementeOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
Gabriela SimonettiOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
Guillem ViscacillasOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
Laura PalominoOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
Isabel AsartaOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
Xavier LaoOtolaryngology Department, Mutua Terrassa University Hospital, University of Barcelona, Barcelona, Spain.
University Hospital Mútua de Terrassa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThese days, the gold standard procedure for otosclerosis treatment is stapes surgery. The endoscopic approach of the procedure is gaining popularity as endoscopic ear surgery develops across the globe. The main objective of this study is to gather and compile well-documented and reliable data regarding surgical outcomes for the endoscopic approach to stapes surgery up to this date. MATERIALS AND

methodsPublications in English were searched in the PUBMED/MEDLINE database and were systematically reviewed. A total of 16 articles were reviewed according to the inclusion criteria, obtaining a total of 573 patients managed surgically for otosclerosis, using an endoscopic approach. Data were systematically extracted and compared across variables.

resultsData were obtained as follows: mean age of 43 years; female proportion of 60%; 3 mm endoscope diameter of 51%, 4 mm of 39%; titanium piston-type prostheses of 52% and Teflon of 48%; length of the prosthesis (mode) was 4.5 mm; 0.6 mm diameter of the piston of 81% and 0.4 mm of 19%; mean surgical time was 55 min. Hearing results, mean preoperative air-bone gap (ABG) 31 dB; mean postoperative ABG 9 dB; ABG improvement of 22 dB; an ABG closure rate to 20 dB or less of 92% and an ABG closure rate to 10 dB or less of 77%. Complication rates: intraoperative tympanic membrane perforation of 5%; postoperative vertigo of 11%; postoperative dysgeusia of 10%; reported a postoperative neurosensorial hearing loss of 0.2%; reported gusher phenomenon of one case (0.2%).

conclusionEndoscopic stapes surgery is completely achievable using 0º angle and 4-mm-diameter sinus surgery endoscope. Instrument availability should not be an obstacle to the development of this type of surgery in any otolaryngology department. Audiological outcomes are comparable to microscopic approaches.

Indexed as

Ossicular ProsthesisOtosclerosisStapes SurgeryAdultEndoscopyFemaleHumansRetrospective StudiesStapesTreatment OutcomeEndoscopic ear surgeryEndoscopic stapedotomyEndoscopic stapes surgeryStapedotomy reviewStapes surgery

Identifiers

PMID33001293
OpenAlexW3090470879

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.