Advantages of the Endoscopic Method in ENT Surgeries

2025-10-22

Main Advantages of the Endoscopic Method in ENT

  1. Minimally Invasive Surgery
    Endoscopic procedures are performed through small incisions or natural openings (ear, nose). As a result:

  • Tissue damage is minimized

  • Postoperative pain and swelling are reduced

  • Better cosmetic outcomes

For example, during stapedoplasty, the endoscope enables the surgeon to clearly see the stapes (tiny ear bones) with minimal incision, significantly reducing patient discomfort.

  1. Superior Visualization and Precision
    The endoscope provides a wide field of view, often in 4K or HD quality.

  • The surgeon can see areas that are difficult to access with a microscope

  • High precision increases surgical effectiveness

  • Especially important in tympanoplasty, where accurate reconstruction of the tympanic membrane and middle ear structures is essential.

  1. Reduced Risk of Damage and Complications
    Minimally invasive techniques result in:

  • Less bleeding

  • Lower risk of infections and nerve injury

  • Fewer side effects

  1. Faster Postoperative Recovery
    Patients often begin recovery within just 5–7 days, significantly improving comfort and quality of life.

  2. Ability to Perform Complex Surgeries
    Endoscopy is especially effective for surgeries in anatomically difficult-to-access areas:

  • Sinus surgery (FESS – Functional Endoscopic Sinus Surgery)

  • Stapedoplasty and tympanoplasty

  1. Shorter Operation Time
    Endoscopic procedures are generally faster — beneficial for both patient and surgeon.

Comparison Table: Endoscopic vs. Microscopic ENT Surgery

Parameter Endoscopic Method Traditional Microscopic Method
Incision Small or natural openings Larger, often visible
Tissue Trauma Minimal Higher
Visualization Wide, 4K/HD, access to hard-to-see structures Limited, single-axis view
Bleeding Minimal Moderate or high, case-dependent
Recovery 1–3 days 5–7 days
Patient Comfort High Lower
Complex Anatomy Easily accessible Difficult or limited
Cosmetic Effect Excellent Visible incision

Examples Where Endoscopy Is Especially Useful

  • Stapedoplasty – reconstruction of the middle ear bones

  • Tympanoplasty – repair of the tympanic membrane

  • FESS (Functional Endoscopic Sinus Surgery) – correction of sinus inflammation and blockage

Conclusion

The endoscopic method in ENT surgery represents the modern standard of care, providing:

  • Minimal trauma

  • High precision

  • Fast recovery

  • Low complication risk

  • Greater patient comfort

Khozrevanidze Clinic’s otorhinolaryngology department offers patients high-tech, safe, and modern approaches — particularly essential in delicate ENT surgeries.