Acquisition of surgical skills for endoscopic ear and lateral skull base surgery: a staged training programme

Alicandri‐Ciufelli, Matteo; Marchioni, Daniele; Pavesi, Giacomo; Canzano, Federica; Feletti, Alberto; Presutti, Livio

doi:10.14639/0392-100x-1878

Cited by 18 publications

(31 citation statements)

References 29 publications

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“…The demographic data of our studied populations was illustrated in table [1]. As shown in table [2], there was no statistically significant difference [pvalue > 0.05] between studied groups as regard outcome. However, there was increase in number of patients where the tube still in place in SATT group [70%] than TTTT group [50.0%] but the difference did not reach statistical significance.…”

Section: Resultsmentioning

confidence: 99%

“…Patients were assigned into one of two groups: Group [1] included 20 patients, treated by a transtympanic ventilation tube. Group [2] included 20 patients, treated by subannular ventilation tube.…”

Section: Methodsmentioning

confidence: 99%

“…Patients who develop recurrent acute otitis media and otitis media with effusion or experience Eustachian tube dysfunction with tympanic membrane retraction require short to long term ventilation of the middle ear. These patients undergo different procedures to achieve that ventilation, such as placement of Transtympanic Ttube, or Subannular T-tube [2] . The subannular technique initially illustrated by Eisner and Alexander in 1960 and described by Simonton and has been used by other practitioners [3] .…”

Section: Introductionmentioning

confidence: 99%

“…3]: Comparison between studied groups as regard complications 2. : Chi-square test; NS: p-value > 0.5 is considered non-significant.…”

mentioning

confidence: 99%

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Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique

Eldabaa

Zaghloul

Ahmed

2020

International Journal of Medical Arts

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Background: Otitis media [OM] is the second most common disease of childhood after upper respiratory tract infection. There was no consensus on the ideal treatment modality yet. Aim of the work:To compare the use of trans-tympanic T tube [TTTT] and subannular T tube [SATT] in recurrent otitis media, recurrent otitis media with effusion or tympanic membrane retraction. Patients and Methods:This is a prospective controlled study, which was conducted at Al-Azhar university hospital [Damietta]. It included 40 patients that were randomly divided into two groups A and B: Group A: include 20 patients who were submitted to trans-tympanic T-tube. Group B included 20 patients who were submitted to sub annular T-tube. Patient data and outcome were documented and compared. Results:The duration that TTTTs and SATTs remained in place ranged from 4 to 19 months with a mean of 10.62 and there was a significant decrease of duration in TTTT in comparison to SATT groups [7.28 vs 14.80 respectively]. Besides, in 14 cases in the SATT group, the tube is still in place. Extrusion was reported in 10 cases [8 in the TTTT group and 2 in the SATT group] and finally removal was reported in 6 patients [2 in TTTT group and 4 in the SATT group. Conclusion:The use of SATTs for long term middle ear ventilation is safe and more efficient than V-T Grommet TTTTs for maintaining middle ear ventilation and prevention of recurrent interventions in children with less otorrhea and plugged tubes.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…3]: Comparison between studied groups as regard complications 2. : Chi-square test; NS: p-value > 0.5 is considered non-significant.…”

mentioning

confidence: 99%

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Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique

Eldabaa

Zaghloul

Ahmed

2020

International Journal of Medical Arts

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“…Despite many advantages, opponents of endoscopic surgery still question the success and safety of this technique [24][25][26] . As the main disadvantages they quote the lack of third dimension (depth) and doing the surgery with one hand, where in the other we have to hold an endoscope.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Ear Surgery in Croatia – Initial Results of Total Endoscopic Transcanal Myringoplasty

Malić

2022

ACC

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The aim of this study was to show clinical outcome in 56 patients with tympanic membrane perforation operated on by total endoscopic transcanal myringoplasty. Out of the total of 74 patients operated on exclusively endoscopically, we identified 56 patients in whom tympanoplasty type I (myringoplasty) was performed. In 43 patients (45 ears), myringoplasty was performed in a standard transcanal fashion with lifting of the tympanomeatal flap, and in 13 patient butterfly myringoplasty was performed. The size and position of perforation, surgery duration, hearing status and closure of the perforation were evaluated. Perforation closure was obtained in 50 of 58 ears (86.21%). The mean surgery duration was 62.69±22.56 minutes in both groups. Hearing improved significantly, with the preoperative mean air-bone gap of 20.41±9.29 dB improving to the postoperative mean airbone gap of 9.05±7.77 dB. No major complications were recorded. Our results of graft success rate and hearing outcomes are comparable with those of microscopic myringoplasties but without the need for external incisions and with reduced surgical morbidity. Hence, we recommend total endoscopic transcanal myringoplasty as the method of choice for tympanic membrane perforation regardless of its size and location.

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Functional Results and Learning Curve of Endoscopic Stapes Surgery: A 10‐Year Experience

et al. 2020

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Objectives/Hypothesis: To assess hearing outcomes and complications of endoscopic stapes surgery by a single surgeon in a 10-year period, to compare these data with conventional microscopic procedures by the same operator, and to describe the learning curve of endoscopic stapedotomy. Study Design: Retrospective study. Methods: This is a retrospective study on patients who underwent endoscopic stapes surgery performed by the same senior surgeon, experienced both in microscopic and endoscopic techniques, between January 2009 and December 2018. Audiological data were compared, and intraoperative and postoperative complications were collected. The surgeon's last 30 cases of microscopic stapedotomy were enrolled as the control group. The results of the first 100 endoscopic stapes surgeries were analyzed separately to create a cumulative sum (CUSUM) control chart for learning curve assessment. Results: One hundred seventy-eight endoscopic and 30 microscopic stapes surgeries were included. In the endoscopic group, the mean postoperative air-bone gap was 8.2 dB. No significant differences between the endoscopic and microscopic preoperative and postoperative values were reported. A total of eight complications (4.5%) were observed in the endoscopic cohort, although in the control group, no complication occurred. The mean surgical time was 51.9 minutes in the endoscopic group versus 48.2 minutes in the microscopic group (P > .05). No association between stapedotomy success and the increasing number of procedures was found. Conclusions: Our article demonstrates that functional results from endoscopic stapes surgery are similar to those from microscopic stapes surgery in terms of both safety and efficacy. After gaining endoscopic experience, the surgical duration of stapes surgery will be adequate starting from the first cases.

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Acquisition of surgical skills for endoscopic ear and lateral skull base surgery: a staged training programme

Abstract: Acquisition of surgical skills for endoscopic ear and lateral skull base surgery: a staged training programme L'acquisizione degli skills chirurgici nella chirurgia endoscopica dell'orecchio medio e del basicranio laterale: un programma di apprendimento a stadi

Cited by 18 publications

References 29 publications

Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique

Comparative Study between Subannular T- Tube and Repetitive Transtympanic T-Tube Technique

Endoscopic Ear Surgery in Croatia – Initial Results of Total Endoscopic Transcanal Myringoplasty

Functional Results and Learning Curve of Endoscopic Stapes Surgery: A 10‐Year Experience

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