A Randomized Control Trial to compare the outcomes of endoscopic and microscopic stapes surgery

Otosclerosis is a hereditary localized disease of the bone formed from the otic capsule characterized by alternating phases of bone formation and resorption. Treatment options for otosclerosis include medical management (NaF), hearing aids and surgery. While hearing aids can effectively manage the condition in its early stages, surgery may become necessary for a more definitive solution. Traditionally, stapedotomy is performed using an operating microscope and is the established treatment for otosclerosis. However, with the introduction of endoscopes, an increasing number of medical centers are performing endoscopic stapedotomy. The primary aim of my study is to

1. To compare the outcomes of  endoscopic  and microscopic stapes surgery in terms of post op hearing improvement.

2. To compare the various intraoperative and postoperative complications of  endoscopic  and microscopic stapes surgery

The secondary aim of the study is to assess the visualization of various middle ear structures in order to understand the easiness of stapes surgery between endoscopic and microscopic stapes surgery in a trainee point of view.

When a patient is following up in the department of Otorhinolaryngology-Head and Neck Surgery and planned for surgery, his consent will be taken to participate in the study. After his consent is taken, we will ask them a set of questions, which includes their demographics, personal, family history and clinical history. After assessing his medical history and performing a clinical examination, he will be randomized to either microscopic stapes surgery group or endoscopic stapes surgery group and undergo stapes surgery . The outcome and complications of their surgery will be assessed and studied.