Endoscopic ear surgery: A case series and first United Kingdom experience

Kanona, Hala; Virk, Jagdeep Singh; Owa, Anthony

doi:10.12998/wjcc.v3.i3.310

Cited by 21 publications

(23 citation statements)

References 21 publications

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“…The permeatal approach with tympanomeatal flap is associated with less morbidity, reduced operating time and faster healing. 9 Our patient was discharge well after day 1 of surgery and during follow up, there was no immediate and long term complication.…”

Section: Discussionsupporting

confidence: 49%

A Rare Cause of Unilateral Tinnitus

Ghani¹,

Othman²,

Mohamad³

2018

imjm

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Section: Discussionsupporting

confidence: 49%

A Rare Cause of Unilateral Tinnitus

Ghani¹,

Othman²,

Mohamad³

2018

imjm

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“…Newer high-definition cameras have provided better image quality to access blind sacs, middle ear spaces that would be impossible to be visible by microscope. 17…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Endoscopic versus Microscopic Cartilage Type I Tympanoplasty

Shakya

Nepal

2019

Int Arch Otorhinolaryngol

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Introduction The use of endoscope is rapidly increasing in otological and neuro-otological surgery in the last 2 decades. Middle ear surgeries, including tympanoplasty, have increasingly utilized endoscopes as an adjunct to or as a replacement for the operative microscope. Superior visualization and transcanal access to diseases normally managed with a transmastoid approach are touted as advantages with the endoscope. Objectives The present study aimed to compare the outcomes of endoscopic and microscopic cartilage tympanoplasty (Type I) Methods This was a retrospective comparative study of 70 patients (25 males and 45 females) who underwent type I tympanoplasty between March 2015 and April 2016. The subjects were classified into 2 groups: endoscopic tympanoplasty (ET, n = 35), and microscopic tympanoplasty (MT, n = 35). Tragal cartilage was used as a graft and technique used was cartilage shield tympanoplasty in both groups. Demographic data, perforation size of the tympanic membrane at the preoperative state, operation time, hearing outcome, and graft success rate were evaluated. Results The epidemiological profiles, the preoperative hearing status, and the perforation size were similar in both groups. The mean operation time of the MT group (52.63 ± 8.68 minutes) was longer than that of the ET group (48.20 ± 10.37 minutes), but the difference was not statistically significant. The graft success rates 12 weeks postoperatively were 91.42% both in the ET and MT groups, that is, 32/35; and these values were not statistically significantly different. There was a statistically significant improvement in hearing within the groups, both pre- and postoperatively, but there was no difference between the groups. Conclusion Endoscopic tympanoplasty is a minimally invasive surgery with similar graft success rate, comparable hearing outcomes and shorter operative time period as compared to microscopic use.

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“…Endoscopes limit these anatomical dead corners. Many surgeons have reported using endoscopes as an adjunct to conventional microscopic ear surgery, but it can be time consuming and cumbersome to switch back and forth from microscope to endoscope 1 …”

Section: Discussionmentioning

confidence: 99%

“…Transcanal endoscopic ear surgery can also decrease operating time as less time is needed to access the middle ear. One of the limitations of transcanal endoscopic ear surgery is the inability to use standard drills because of the risk of damage to the endoscope and the limited workspace in the external auditory canal 1 …”

Section: Introductionmentioning

confidence: 99%