Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique

Abstract

To evaluate the surgical outcome of two handed technique of endoscopic ear surgery with endoscope holder. Retrospective Non Randomized Clinical Study. A total of 547 endoscope holder (Justtach) assisted ear surgeries (331 cartilage tympanoplasties and 216 cholesteatoma surgeries) were operated with Justtach from July 2013 to April 2016 with a follow up period ranging from 12 to 45 months to evaluate its feasibility and results with the technique. The design of the endoscope holder, Justtach is described along with its functioning and maneuvering techniques. In the endoscopic tympanoplasty group, at 1 year follow up, the graft uptake was seen in 323 ears with three residual perforation and 5 recurrent perforations giving a success rate of 97.58%. At the 2 years follow up, the graft uptake was in 322 ears with 6 recurrent perforations and 3 residual perforations with a success rate of 97.28%. Whereas in case of endoscopic cholesteatoma surgery, there was residual cholesteatoma in 5 and recurrent in 6 out of 216 cases. The study reports the successful application and use of endoscope holder in two handed technique of endoscopic ear surgery.Level of Evidence Level 4.

New Cartilage Slicer for Slicing Techniques in Tympanoplasty: Design and Applications

“…The thickness of the cartilages being reduced after slicing, makes its pliability, handling and placement comparable to the fascia (depending on the thickness of the metallic spacer used). The success of the sliced cartilage in terms of structural and functional outcome has already been published [19,20].…”

“…From 2002 to 2012 [12][13][14][15][16][17], the authors have been using the sliced tragal cartilage for TM and middle ear reconstruction. In 2013, we modified the previous existing cartilage slicers and developed a new cartilage slicer having multipurpose functions for cartilage tympanoplasty techniques [18][19][20]. Our cartilage slicer has been named under the registered trade mark of Slice !t.…”