Natural Orifice Transluminal Endoscopic Surgery

Berney, Christophe R.

doi:10.1097/sla.0b013e31823ad063

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…The debate about natural orifice transluminal surgery (NOTES) is nowadays in every sector of surgery. 12 We should also consider this kind of approach not only a minimally invasive procedure, but also a NOTES procedure. Although the approach described should not be considered a standard technique, but rather an innovative approach, the likely evolution of instruments or the introduction of existing technologies to this surgery (i.e., robotic surgery) could enormously expand the indications, possibly completely changing the traditional approaches and procedures to lateral skull base surgery.…”

Section: Discussionmentioning

confidence: 99%

“…It must be underlined that a careful preoperative magnetic resonance (MR) study or CPA vascularization is mandatory in that kind of surgery; and in cases that unfavorable vascular anatomy was noticed, the approach should not be recommended. The debate about natural orifice transluminal surgery (NOTES) is nowadays in every sector of surgery . We should also consider this kind of approach not only a minimally invasive procedure, but also a NOTES procedure.…”

Section: Discussionmentioning

confidence: 99%

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Cochlear schwannoma removed through the external auditory canal by a transcanal exclusive endoscopic technique

Presutti¹,

Alicandri‐Ciufelli²,

Cigarini³

et al. 2013

The Laryngoscope

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Surgical approaches to the inner ear and internal auditory canal (IAC) are widely known and extensively recorded. The most popular can be classified as retrosigmoid, transmastoid-translabyrinthine, and middle cranial fossa approaches. For the first time, an exclusive endoscopic approach to the IAC is described here, used to remove a cochlear schwannoma involving both the IAC and labyrinth. The operation provided a direct transcochlear intradural approach from lateral to medial and from external to internal auditory canal, without any external incision. The pathology was totally removed, and the postoperative outcome of the facial nerve was grade II (House-Brackmann grading system) at 3-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cochlear schwannoma removed through the external auditory canal by a transcanal exclusive endoscopic technique

Presutti¹,

Alicandri‐Ciufelli²,

Cigarini³

et al. 2013

The Laryngoscope

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From external to internal auditory canal: surgical anatomy by an exclusive endoscopic approach

Marchioni

Alicandri‐Ciufelli

Mattioli

et al. 2012

Eur Arch Otorhinolaryngol

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Surgical approaches to the inner ear and internal auditory canal (IAC) are well known and well documented. The objective of this study is to analyze the morphology, and surgical and anatomic findings of an exclusive endoscopic transcanal approach (EETA) to the IAC. Cadaveric dissections were performed on 11 temporal bones, approaching the internal auditory meatus directly through the external ear canal and avoiding mastoidectomy. In all cases, it was possible to dissect the internal carotid artery and jugular bulb with a 0° endoscope, and with good control of these two structures. The medial wall of the bony labyrinth guaranteed good landmarks for IAC dissection, such as the spherical recess, and the labyrinthine tract of the facial nerve. The IAC can be thoroughly visualized in the cadaver using EETA, avoiding mastoidectomy, extensive temporal bone tissue removal and external incisions. Clinically based reports will be required in future to strengthen our preliminary results.

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