Complications in Endoscopic Ear Surgery

Marchioni, Daniele; Rubini, Alessia; Gazzini, Luca; Alicandri‐Ciufelli, Matteo; Molinari, Giulia; Reale, Marella; Presutti, Livio

doi:10.1097/mao.0000000000001933

Cited by 42 publications

(21 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 In another study by the same author and his associates, 0.4% had ossiculoplasty graft dislocation and 0.6% had persistent tympanic membrane perforation. 14 The other significant complication is displacement of the tragal/conchal cartilage and subsequent retraction pocket formation. This could be minimized by reducing excessive bone removal for example, at the anterior buttress, which often requires removal when cholesteatoma extends beneath it.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Versus Microscopic Management of Attic Cholesteatoma: A Randomized Controlled Trial

et al. 2019

View full text Add to dashboard Cite

Objectives To compare endoscopic transcanal approach to attic cholesteatoma with conventional microscopic transcanal technique Methods Seventy‐eight patients diagnosed with attic cholesteatoma were randomly assigned into two groups—one undergoing endoscopic approach and the other microscopic technique. The two groups were compared in terms of area of exposure, access to hidden areas in terms of Middle Ear Structural Visibility Index (MESVI), intraoperative time, postoperative pain, vertigo, long‐term hearing, and surgical outcomes. Results The mean area of exposure in endoscopic atticotomy required was less than that in microscopic group and was found to be statistically significant. The median MESVI for endoscopic group better than that for microscopic group (P < .0001). The mean operating time in endoscopic approach was less than that in case of microscopic approach, with P < .05. The median postoperative pain score in the endoscopic group was less than that in microscopic group (P < .05). No significant difference was found between two groups in terms of vertigo experienced at the end of first week and air‐bone gap closure. When long‐term surgical outcomes were assessed at 1 year, in endoscopic group, one patient had disease recurrence, one cartilage displacement, one perforation, and two had retraction pocket formation. In the microscopic group, two patients had recurrence, four cartilage displacement, one perforation, and five retraction pocket formation. Conclusion Endoscopic management of limited attic cholesteatoma has definite advantages over the conventional microscopic approach. Level of Evidence 1 Laryngoscope, 130:2461–2466, 2020

show abstract

Section: Discussionmentioning

confidence: 99%

Endoscopic Versus Microscopic Management of Attic Cholesteatoma: A Randomized Controlled Trial

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Comparing our results with the studies of Marchioni et al and Yiannakis et al reveals our complication rate to be higher. 8,10 A possible explanation is the small number of cases used in our study (compared with 825 cases used by Marchioni et al and the 103 cases used by Yiannakis et al).…”

Section: Discussionmentioning

confidence: 72%

“…Despite these limitations, the complication rates for EES remain low. 10 The aim of this retrospective study is to highlight the indications and ear pathologies for TEES conducted in a hospital in Malaysia, and to analyze possible complications of the procedure. All these findings are important in order to improve the understanding of TEES, given its novelty in otology.…”

Section: Introductionmentioning

confidence: 99%

The first Malaysian experience on totally endoscopic ear surgery

Misron

Kamalden

2019

Proceedings of Singapore Healthcare

View full text Add to dashboard Cite

Introduction: Totally endoscopic ear surgery (TEES) is defined as exclusive application of endoscope transcanally in otologic surgery. This study is aimed to highlight indications and ear pathologies for TEES. In addition, intraoperative, early postoperative and delayed postoperative complications of TEES will be also described in this study. Methodology: This is a retrospective study of TEES performed by a single experienced and trained otologist in endoscopic ear surgery in a single institution between 1 July 2014 and 31 June 2018. A total of 43 patients were recruited in this study. Sociodemographic information, indications for TEES, ear pathologies, type of surgery performed and complications of TEES were analyzed. Results: The indications for TEES comprised middle ear lesion (65.1%), followed by second look surgery (14.0%), external auditory canal lesion (11.6%) and internal acoustic meatus lesion and surgery for conductive hearing loss which were 4.7%. Various external auditory canal pathologies encountered for TEES were ear canal osteoma (4.7%), acquired ear canal stenosis (2.3%) and tumor (4.7%). Regarding middle ear pathologies, limited atticoantral cholesteatoma accounted for most of the cases, 46.5%. Other middle ear lesions included adhesive otitis media (14.0%), recurrent cholesteatoma (14.0%), tumor (4.7%), otosclerosis (2.3%) and ossicular discontinuity (2.3%). Internal acoustic meatus lesion constituted 4.7% of cases. Some 4.7% of cases developed intraoperative complications, while early and delayed complications were 7.0%. Conclusion: TEES is a feasible surgical technique for diverse ear pathologies in the otologic specialty. It is also proven to be safe with good surgical outcomes.

show abstract

“…25 Direct trauma due to onehanded surgical maneuvers and heating caused by the light of the endoscope have been frequently questioned as possible risks for inner ear damage during EES 26 ; however, our results did not support this hypothesis, as the use of the endoscope has proven to be a safe tool in our large cohort, as previously described. 27,28 We did not appreciate any significant discrepancy in hearing results comparing the endoscopic versus microscopic group performed by the same surgeon. Recently, several studies have focused on this topic.…”

Section: Functional Resultsmentioning

confidence: 79%

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

et al. 2020

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Complications in Endoscopic Ear Surgery

Cited by 42 publications

References 14 publications

Endoscopic Versus Microscopic Management of Attic Cholesteatoma: A Randomized Controlled Trial

Endoscopic Versus Microscopic Management of Attic Cholesteatoma: A Randomized Controlled Trial

The first Malaysian experience on totally endoscopic ear surgery

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

Contact Info

Product

Resources

About