Abstract
The aim of this article is to report on the integration of endoscopic ear surgery (EES) into daily clinical practice. In amonocentric prospective study, the endoscopy unit was set up during even weeks over aperiod of 10 months and the procedure was primarily started endoscopically via atransmeatal approach. In odd weeks, the endoscopy was omitted. A total of 60 procedures in 59patients were evaluated. Points of comparison were intraoperative vision, incision-suture time, postoperative hearing outcome, and postoperative otoscopic findings. With the exception of the facial nerve (p = 0.15 Mann-Whitney U‑test), the EES showed significantly improved visualization of all areas in the middle ear. The incision-suture times were similar in both methods. If bimanual placement of an ossicular prosthesis was necessary, the incision-suture time increased disproportionately (MES: 57.18 ± 9.7 min, EES: 76.83 ± 24.99 min; p = 0.019, *). There were no statistically significant changes related to hearing outcomes when comparing EES with the microscopic technique. There were no postoperative complications in the EES surgery group. Integration of EES proved to be successful and advantageous in a real patient collective at this location.
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