Transcanal endoscopic ear surgery (TEES) is a relatively new concept, but endoscopes have been used previously as an adjunct to microsurgery (MEES) in patients with cholesteatoma. 1 TEES has the added benefit of reduced morbidity and increased likelihood that the patients will tolerate the procedure as a day-case, but this can variate according to local practice and protocols. It also allows for close inspection of 'hidden' areas such as sinus tympani with angled scopes. 1 We aimed to analyse the outcomes including cholesteatoma recurrence/ residual disease, ear discharge, intact tympanic membrane and audiological outcomes (air-bone gap ABG) of the minimally invasive TEES compared to open microsurgery/MEES.
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| Study designThis is a prospective study of consecutive patients undergoing surgery for cholesteatoma from 2014 to 2016 with a minimum followup of 3 years. All patients with cholesteatoma were included in the study. STROBE reporting guidelines have been followed for this study.
Background. Fibre-optic nasoendoscopy and fibre-optic laryngoscopy are high-risk procedures in the coronavirus disease 2019 era, as they are potential aerosol-generating procedures. Barrier protection remains key to preventing transmission. Methods. A device was developed that patients can wear to reduce potential aerosol contamination of the surroundings. Conclusion. This device is simple, reproducible, easy to use, economical and well-tolerated. Full personal protection equipment should additionally be worn by the operator.
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