Endoscopic ventilation tube placement in the pediatric age

Nassif, Nader; Zinis, Luca Oscar Redaelli de; Berlucchi, Marco; Zanetti, Diego

doi:10.1111/coa.12221

Cited by 9 publications

(8 citation statements)

References 9 publications

(22 reference statements)

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“…As described in other studies, endoscopes with different lengths, such as 6, 11, 16, and 18 cm, can be used to carry out endoscopic management [2,4,23]. According to our experience, the optimal length is between 11 and 16 cm in order to avoid impingement of instruments such as that noted on ventilation tube placement [22]. The rigid endoscope to use according to our experience is 3.0 mm and 16 cm long.…”

Section: Tympanoplasty (Myringoplasty)mentioning

confidence: 73%

“…In anterior perforation, surgery is more challenging as graft placement may be inaccurate [19], and the anterior aspect of the eardrum is more difficult to visualize, especially in children where the external ear canal dimensions are constraining [20,21]. In our department, we have adopted an endoscopic technique since 2011 [22]. The Endoscopic Ear Surgery in Children DOI: http://dx.doi.org/10.5772/intechopen.84563 use of endoscopy to perform myringoplasty may obviate such limiting factors.…”

Section: Tympanoplasty (Myringoplasty)mentioning

confidence: 99%

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Endoscopic Ear Surgery in Children

Zinis¹,

Nassif²

2020

The Human Auditory System - Basic Features and Updates on Audiological Diagnosis and Therapy

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Endoscopic assistance is gradually gaining recognition in otology not only for office examinations but also during surgery. The first endoscopic surgical procedure that was started in our institution was endoscopic ventilation tube placement to manage children with stenotic and curved canals. Following this, endoscopy was used in all type I tympanoplasty and stage I cholesteatoma removals with the advantage of avoiding a postauricular or endaural approach. The last application of endoscopic assistance was to better visualize round window and scala tympani via posterior tympanotomy during cochlear implantation. There are several advantages in using endoscopes: the wide view obtained and the possibility to observe areas behind the angle with less invasiveness and its excellent resolution, in addition to its intense light and higher magnification that facilitates teaching and tutoring. The limits of endoscopic surgery are that one hand is always needed to hold the endoscope and the lack of a third dimension. Until miniaturization of 3D systems allow the possibility to work in the narrow external ear canal, in order to overcome the limitation that one hand is dedicated to the endoscope, we will describe the use of an endoscope holder in otologic procedures.

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Section: Tympanoplasty (Myringoplasty)mentioning

confidence: 73%

Section: Tympanoplasty (Myringoplasty)mentioning

confidence: 99%

Endoscopic Ear Surgery in Children

Zinis¹,

Nassif²

2020

The Human Auditory System - Basic Features and Updates on Audiological Diagnosis and Therapy

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“…There have only been a limited number of reports that describe the use of the endoscope for insertion of ventilation tubes and which compare the use of endoscopic and microscopic techniques in patients with COME [3][4][5][6] . As a basic surgical principle, it is known that the duration of an operation is a risk factor.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, several authors have proposed the advantages of the endoscopic approach over the operating microscope Oto-endoscopic Versus Microscopic Ventilation Tube Placement In Children in ear surgery [6,10,11] . Bakshi [12] suggested that a tortuous ear canal or the presence of osteoma may present a particularly challenging anatomical condition when using an endoscope.…”

Section: Discussionmentioning

confidence: 99%

Oto-endoscopic Versus Microscopic Ventilation Tube Placement In Children

Erbek¹

2018

ENT Updates

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Objectives: Within the last few years, oto-endoscopes have been in use for inserting transtympanic ventilation tubes. However, in terms of published studies, only a limited number have investigated the efficacy of endoscopic myringotomy and tube placement in children. The aim of this prospective study was to evaluate the feasibility of endoscopic ventilation tube insertion in children by comparing the duration and outcomes of endoscopic versus microscopic technique. Method: The study included 39 children in total (22 boys and 17 girls) aged 2-10 years and diagnosed with chronic otitis media with effusion (COME). In Group A, ventilation tube insertion was performed using oto-endoscopy in 15 patients (29 ears). In Group B, ventilation tube insertion was performed using surgical microscopy in 24 patients (44 ears). Results: The mean operative time for the microscopic technique was significantly shorter than that of the endoscopic technique (P < 0.05). No serious perioperative complications related to the techniques used occurred. Conclusions: In children, oto-endoscopic tube placement can be performed safely, but the duration of endoscopic tube placement is not shorter than that of microscopic tube placement.

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“…3 On the other hand, several studies have confirmed that transcanal endoscopic surgery is safe and effective in treating middle ear diseases in patients with unfavourable EAC dimensions, such as paediatric patients. 6,7 A recent study in 31 paediatric patients revealed that surgical difficulties with EAC dimensions in children could be circumvented by endoscopic surgery. 6 Moreover, for middle ear surgeries in children, it was reported that tympanic membrane closure rates and hearing outcomes were similar between endoscopic and non-endoscopic cases.…”

Section: Synopsis Of Key Findingsmentioning

confidence: 99%