Primary Endoscopic Stapes Surgery: A Comparison of Adipose Tissue and Gelfoam Seal.
Pradeep PradhanAnindya NayakSidharth PradhanPrity SharmaChappity PreetamPradipta Kumar ParidaPublished in: Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India (2020)
To compare the efficacy between the commonly used sealing materials, i.e., adipose tissue and the gelfoam in primary endoscopic stapedotomy. Lobular fat and gelfoam have been used in patients who underwent endoscopic stapedotomy between two groups, each containing 29 patients. The hearing outcomes and postoperative complications were compared at the end of 12 weeks between two groups. The ABG of ≤ 10 dB was achieved in 69% of cases in group A and 76% of cases in group B. There was a significant short-term (1 week) improvement in the Dizziness Handicap Inventory score ( p = 00) with patients of adipose tissue seal compared to the gelfoam. Although the audiological outcomes were comparable between the two groups, the use of the adipose tissue can be a better alternative than gelfoam to control vertigo in the early postoperative period without causing any significant morbidity to the patient.
Keyphrases
- adipose tissue
- end stage renal disease
- newly diagnosed
- chronic kidney disease
- ejection fraction
- prognostic factors
- peritoneal dialysis
- high fat diet
- ultrasound guided
- patients undergoing
- randomized controlled trial
- type diabetes
- coronary artery disease
- skeletal muscle
- minimally invasive
- clinical trial
- patient reported outcomes
- study protocol
- double blind