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European Archives of Oto-Rhino-Laryngology

Published in:

01-04-2020 | Ear Surgery | Otology

Tympanomeatal flap creation in endoscopic stapedotomy: cautery vs. cold instrumentation

Authors: Emine Demir, Metin Çeliker, Gökçe Aydın Balaban, Engin Dursun

Published in: European Archives of Oto-Rhino-Laryngology | Issue 4/2020

Abstract

Purpose

Bleeding is one of the most challenging issues for surgeons performing endoscopic stapedotomy. During creation and elevation of the tympanomeatal flap (TMF) prevention or control of bleeding greatly facilitates the safety and comfort in the next steps of the surgery. The aim of this study was to compare the effects of cautery versus cold instrumentation during creation of TMF at endoscopic stapedotomy surgery.

Methods

We investigated 15 patients TMF created with cautery and 14 patients with cold instrument, and compared bleeding scores, operation time, postoperative hearing, pain and complications between groups.

Results

The mean bleeding score was significantly lower in cautery incised patients compared to cold instrument patients (1.2 ± 0.9 vs. 2.3 ± 1, p = 0.005). Mean duration of surgery was also significantly shorter in cautery used patients (35.3 ± 6.8 vs. 48.8 ± 9.2 min, p < 0.001). There was no significant difference between postoperative pain, complications, wound healing, and auditory outcomes.

Conclusions

Cautery may be a better choice for the creation of TMF in endoscopic stapedotomy surgery due to reduced bleeding, shorter operation time and increased comfort without causing any complications.

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Title: Tympanomeatal flap creation in endoscopic stapedotomy: cautery vs. cold instrumentation
Authors: Emine Demir
Metin Çeliker
Gökçe Aydın Balaban
Engin Dursun
Publication date: 01-04-2020
Publisher: Springer Berlin Heidelberg
Keyword: Ear Surgery
Published in: European Archives of Oto-Rhino-Laryngology / Issue 4/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-020-05847-6

At a glance: The STEP trials

Springer Medicine

Tympanomeatal flap creation in endoscopic stapedotomy: cautery vs. cold instrumentation

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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