Endoscopic approach to tensor fold in patients with attic cholesteatoma

Marchioni, Daniele; Mattioli, Francesco; Alicandri‐Ciufelli, Matteo; Presutti, Livio

doi:10.1080/00016480802468187

Cited by 86 publications

(58 citation statements)

References 3 publications

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“…Using a microscope, two-hand surgery is possible, which is extremely useful to remove blood from the operation field. However, visualization of deep and hidden spaces involving sinus tympani, epitympanum, facial recess, and the attic area are limited with a microscope [5,9,12,13,17]. Therefore, microscopic techniques frequently need further soft tissue dissection/ retraction and bony drilling to obtain a better surgical view [17].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Efficacy of Endoscopic Exploratory Tympanotomy in Conductive Hearing Loss Patients

Kim¹,

Cho²,

Seong³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

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Objectives. This study aimed to compare the outcome of endoscopic and microscopic tympanoplasty.Methods. This was a retrospective comparative study of 73 patients (35 males and 38 females) who underwent type I tympanoplasty at Samsung Medical Center from April to December 2014. The subjects were classified into two groups; endoscopic tympanoplasty (ET, n=25), microscopic tympanoplasty (MT, n=48). Demographic data, perforation size of tympanic membrane at preoperative state, pure tone audiometric results preoperatively and 3 months postoperatively, operation time, sequential postoperative pain scale (NRS-11), and graft success rate were evaluated.Results. The perforation size of the tympanic membrane in ET and MT group was 25.3%±11.7% and 20.1%±11.9%, respectively (P =0.074). Mean operation time of MT (88.9±28.5 minutes) was longer than that of the ET (68.2±22.1 minutes) with a statistical significance (P =0.002). External auditory canal (EAC) width was shorter in the ET group than in the MT group (P =0.011). However, EAC widening was not necessary in the ET group and was performed in 33.3% of patients in the MT group. Graft success rate in the ET and MT group were 100% and 95.8%, respectively; the values were not significantly different (P =0.304). Pre-and postoperative audiometric results including bone and air conduction thresholds and air-bone gap were not significantly different between the groups. In all groups, the postoperative air-bone gap was significantly improved compared to the preoperative air-bone gap. Immediate postoperative pain was similar between the groups. However, pain of 1 day after surgery was significantly less in the ET group. Conclusion.With endoscopic system, minimal invasive tympanoplasty can be possible with similar graft success rate and less pain.

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Section: Discussionmentioning

confidence: 99%

“…The value of endoscopes combined with the conventional microscopic eradication of cholesteatoma has been well established [6][7][8][9][10][11][12][13][14][15]. Besides surgeries for cholesteatoma removal, an exclusively endoscopic approach during tympanoplasty has been applied to facilitate minimally invasive surgery [16,17].…”

Section: Introductionmentioning

confidence: 99%

The Efficacy of Endoscopic Exploratory Tympanotomy in Conductive Hearing Loss Patients

Kim¹,

Cho²,

Seong³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

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“…From our study transcanal endoscopic approach to the floor of the AES allowed a wider exposure of the anterior epitympanic spaces (supratubal recess and anterior mallear space) thus, permitting to highlight the tensor tympani fold. We suggested two kind of approach to remove this fold using an endoscope of 3 mm diameter 45°as following [30]:…”

Section: Epitympanic Spacesmentioning

confidence: 99%

Endoscopic Anatomy of the Middle Ear

Marchioni

Molteni

Presutti

2011

Indian J Otolaryngol Head Neck Surg

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Good knowledge of anatomy is fundamental for every surgeon. Middle ear anatomy is really complex and sometimes is challenging for otologists, who need to explore every single compartment for a radical removal of pathology. With introduction of the endoscope in middle ear surgery, anatomy of middle ear spaces has become wider and clearer due to a better magnification and to the possibility to look ''behind the corner''. This article is a review of the state-of-art of endoscopic middle ear anatomy with description of every compartment, with particular attention to ventilation pathways and middle ear folds.

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“…McKennan described the secondlook endoscopic inspection of mastoid cavities that was achieved through a small postauricular incision [6]. More recently, Presutti and Marchioni, have described primary transcanal endoscopic ear surgery in a similar fashion to e [25][26].…”

Section: Historymentioning

confidence: 99%

Endoscopic transcanal middle ear surgery

Tarabichi

2010

Indian J Otolaryngol Head Neck Surg

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The advantages and limitations of the microscope of choice for the treatment of diseases of the middle ear. The wide-angle view provided by the endoscope enables transcanal access to the tympanic cavity, and its otherwise recess, and hypotympanum. These areas are the primary sites of disease and surgical failure to cure. The endoscope also allows an all encompassing view of the three main elements in tympanoplasty surgery: The ear canal, tympanic membrane, and the tympanic ring. This report is a summary transcanal operative endoscopy as the primary approach to the management of middle ear disease.

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Endoscopic approach to tensor fold in patients with attic cholesteatoma

Cited by 86 publications

References 3 publications

The Efficacy of Endoscopic Exploratory Tympanotomy in Conductive Hearing Loss Patients

The Efficacy of Endoscopic Exploratory Tympanotomy in Conductive Hearing Loss Patients

Endoscopic Anatomy of the Middle Ear

Endoscopic transcanal middle ear surgery

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