Exclusive Endoscopic Ear Surgery for Acquired Cholesteatoma

Migirov, Lela; Shapira, Ysgav; Horowitz, Zeev; Wolf, Michael

doi:10.1097/mao.0b013e3182096b39

Cited by 106 publications

(66 citation statements)

References 21 publications

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“…Endoscopy has increasing role to play in the ear surgery, namely photo documentation of tympanic membrane [5], cholesteatoma surgery [6], surgery of the facial nerve [7], and anatomy of the sinus tympani [8]. Endoscope assistance has improved the visual exposure of hidden and deep structures, it provides a wide angle view of the tympanic membrane remnant and middle ear structures.…”

Section: Introductionmentioning

confidence: 99%

A Prospective Study Comparing the Results of Endoscope Assisted Versus Microscope Assisted Myringoplasty

Ahmed¹

2016

GJO

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Objective: To assess the operative time, post operative pain, graft uptake and audiological gain in the group of the patients undergoing the endoscope assisted and the microscope assisted myringoplasty. Setting: Tertiary referral hospital. Subjects:The study was prospective in nature and comprised of 100 patients suffering from the chronic otitis media inactive mucosal disease. Patients attending the Otorhinolaryngology out patients department were included in this study. Methods:Transcanal myringoplasty or type-1 tympanoplasty was performed by either the endoscope or the microscope assistance. Endaural/Postaural approach was undertaken in few microscope assisted myringoplasty. Underlay technique of myringoplasty was performed using temporalis fascia graft in all the patients suffering from the inactive mucosal chronic otitis media. Post operative evaluation was done in terms of operative time, pain, graft uptake and audiological gain. The patients were followed up for a period of 6 months. Results:The operative time in the patients undergoing the endoscope assisted myringoplasty was 49.76±3.18 minutes whereas it was 62.37±3.69 minutes in the patients undergoing the microscope assisted Transcanal myringoplasty and 72.15±2.56 minutes in the patients undergoing the microscope assisted Endaural/Postaural myringoplasty. Post operative pain was assessed the next day after the surgery, it was less severe in the Transcanal approach endoscope/microscope assisted myringoplasty groups and more severe in the microscope assisted Endaural/Postaural approach myringoplasty group. The difference between the groups was statistically significant. The tympanic membrane graft uptake and audiological gain was assessed at 1 month, 3months and 6 months post operatively. The successful closure of the tympanic membrane perforation was higher with the endoscope assisted myringoplasty as compared to the microscope assisted myringoplasty at 1 month, 3 months and 6 months of follow up but the difference was not statistically significant. The mean audiological gain following myringoplasty with both the techniques used was noted. The mean audiological gain was found to be marginally better with the endoscope assisted myringoplasty at follow up of 1, 3 and 6 months as compared to the microscope assisted myringoplasty, however this difference was not statistically significant. Conclusion:The operative time was less in the endoscope assisted technique as compared to the microscope assisted technique. The post operative morbidity (evaluated in terms of post operative pain) was less in the group of patients undergoing the Transcanal endoscope assisted as compared to microscope assisted myringoplasty. The post operative pain was more severe in the Endaural/Postaural approach than the Transcanal approach microscope assisted myringoplasty. There was no statistically significant difference in either graft uptake or post-operative audiological gain in the patients undergoing myringoplasty by endoscope assisted and microscope assisted technique....

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Section: Introductionmentioning

confidence: 99%

A Prospective Study Comparing the Results of Endoscope Assisted Versus Microscope Assisted Myringoplasty

Ahmed¹

2016

GJO

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“…However, Migirov et al [20], have reported a relatively higher rate of cholesteatoma involvement in the AES in their study.…”

Section: Resultsmentioning

confidence: 51%

Use of endoscope as adjunct to microscope in cholesteatoma surgery- A non-randomized, non-controlled study

Verm¹,

Dabholkar²,

Velankar³

et al. 2017

Otorhinolaryngol Head Neck Sur

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Importance; The use of endoscope for the ear has opened up new approaches to treat cholesteatoma surgically and reduce residuals. The endoscope can be used as an adjunct to the microscope or by itself. Aims and objectives:1. To evaluate the use of endoscopy in identifying the cholesteatoma remnant at the time of primary surgery with the operating microscope.2. To evaluate the effectiveness of endoscopy in assessing limited disease during cholesteatoma surgery.Design: A hospital-based, interventional, non-randomized, non-comparative and prospective study was done in 116 ears with acquired cholesteatoma. At the time of the surgery, the endoscope was used to study and identify the extent of the disease. After completion of the surgery by the standard inside-out technique using microscope and drill, the endoscope was used to identify the cholesteatoma remnants if any.Setting: This study was done in a tertiary care hospital.Participants: 116 patients with acquired cholesteatoma that were operated on. Main outcome measure:The proportion of residual disease identified with the help of endoscope at the end of standard surgery using microscope and drill. Secondary outcome measure was the proportion of cases in which endoscope was useful in decision making intra-operatively. Results:Out of 116 patients operated with the microscope, 13 had a cholesteatoma remnant at the end of surgery which was missed by the microscope but identified with the oto-endoscope. The sinus tympani was the commonest site of cholesteatoma remnant. Also in 7 cases, the endoscope helped in limiting the dissection by better identification of the extent of disease as compared to microscope during surgery. Conclusion and relevance:Endoscope is a useful adjunct to the operating microscope in cholesteatoma surgeries. It is useful in not only identifying residual disease but also in decision making by identifying the extent of the disease intra-operatively.

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“…Endoscopic ear surgery has been used for chronic otitis media with cholesteatoma in recent years [12][13][14] . Roughly at similar times, endoscopic cochlear implantation surgery was also reported, although it is a relatively new entity [15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic-Assisted Cochlear Implantation: A Case Series

Orhan

Polat²,

Çelik³

et al. 2016

Int Adv Otol

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Exclusive Endoscopic Ear Surgery for Acquired Cholesteatoma

Abstract: Our preliminary results indicate that the minimally invasive endoscopic ear surgery allowed complete eradication of cholesteatoma from the middle ear and its extensions, with minimal morbidity and good functional results.

Cited by 106 publications

References 21 publications

A Prospective Study Comparing the Results of Endoscope Assisted Versus Microscope Assisted Myringoplasty

A Prospective Study Comparing the Results of Endoscope Assisted Versus Microscope Assisted Myringoplasty

Use of endoscope as adjunct to microscope in cholesteatoma surgery- A non-randomized, non-controlled study

Endoscopic-Assisted Cochlear Implantation: A Case Series

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