Incorporating Endoscopic Ear Surgery into Your Clinical Practice

Kozin, Elliott D.; Kiringoda, Ruwan; Lee, Dong Hoon

doi:10.1016/j.otc.2016.05.005

Cited by 21 publications

(16 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In left-sided cases, this overhang biases the endoscope toward the mesotympanum and epitympanum for excellent visualization of the facial nerve and the ossicles. 13 …”

Section: Discussionmentioning

confidence: 99%

Current trends and applications in endoscopy for otology and neurotology

Ridge

Shetty

Lee

2021

World j. otorhinolaryngol.-head neck surg.

Self Cite

View full text Add to dashboard Cite

There has been a rapid increase in endoscopic ear surgery for the management of middle ear and lateral skull base disease in children and adults over the last decade. In this review paper, we discuss the current trends and applications of the endoscope in the field of otology and neurotology. Advantages of the endoscope include excellent ergonomics, compatibility with pediatric anatomy, and improved access to the middle ear through the external auditory canal. Transcanal endoscopic ear surgery has demonstrated comparable outcomes in the management of cholesteatoma, tympanic membrane perforations, and otosclerosis as compared to microscopic approaches, while utilizing less invasive surgical corridors and reducing the need for postauricular incisions. When a postauricular approach is required, the endoscopic-assisted transmastoid approach can avoid a canal wall down mastoidectomy in cases of cholesteatoma. The endoscope also has utility in treatment of superior canal dehiscence and various skull base lesions including glomus tumors, meningiomas, and vestibular schwannomas. Outside of the operating room, the endoscope can be used during examination of the outer and middle ear and for debridement of complex mastoid cavities. For these reasons, the endoscope is currently poised to transform the field of otology and neurotology.

show abstract

“…In left-sided cases, this overhang biases the endoscope toward the mesotympanum and epitympanum for excellent visualization of the facial nerve and the ossicles. 13 …”

Section: Discussionmentioning

confidence: 99%

Current trends and applications in endoscopy for otology and neurotology

Ridge

Shetty

Lee

2021

World j. otorhinolaryngol.-head neck surg.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The skin which lines the cartilaginous section of the canal is thicker, more mobile, and contains sebaceous and ceruminous glands and hair follicles [14] that can contaminate the lens while inserting the endoscope, requiring the surgeons to intermittently discontinue surgery to remove and clean the endoscope and reinsert it [15,16]. This can be time-consuming and taxes the surgeon's patience.…”

Section: Discussionmentioning

confidence: 99%

Self-Expandable Retainer for Endoscopic Visualization in the External Auditory Canal: Proof of Concept in Human Cadavers

et al. 2020

View full text Add to dashboard Cite

This study was conducted to investigate the efficacy of a self-expandable retainer (SER) for endoscopic visualization of the external auditory canal (EAC). Tympanomeatal flap (TMF) elevation was performed in six cadaveric heads. Two different types of SER were placed. The procedural feasibility was assessed by endoscopic images. Technical success rate, procedure time, endoscopy lens cleaning, and presence of mucosal injuries were analyzed. TMF elevation and SER placement were successful in all specimens and there were no procedure-related complications. The mean procedure time with the SERs was significantly shorter than without (p < 0.001). The mean number of times the endoscopy lens was cleaned during the procedure was significantly lower in the SER group (p < 0.001). In the SER group, endoscopy insertion into the EAC was easier without tissue contact with the lens during the TMF elevation compared with the non-SER group. There were no mucosal injuries. SER placement is effective for endoscopic visualization via the expanded and straightened EAC. A fully covered type of SER is preferable. The device can be useful for endoscopic ear surgery, reducing procedure time and reducing the need for endoscopy lens cleaning during the procedure.

show abstract

“…Endoscopic ear surgery is increasingly popular, especially for chronic ear disease with cholesteatoma. 23,24 Endoscopes are being adapted for otological use via improvements in illumination and resolution, through scopes of narrow diameter in various angles of visualisation.…”

Section: Ear Surgery Of the Futurementioning

confidence: 99%

The future of otology

Jackler

Jan

2019

J. Laryngol. Otol.

View full text Add to dashboard Cite

BackgroundThe field of otology is increasingly at the forefront of innovation in science and medicine. The inner ear, one of the most challenging systems to study, has been rendered much more open to inquiry by recent developments in research methodology. Promising advances of potential clinical impact have occurred in recent years in biological fields such as auditory genetics, ototoxic chemoprevention and organ of Corti regeneration. The interface of the ear with digital technology to remediate hearing loss, or as a consumer device within an intelligent ecosystem of connected devices, is receiving enormous creative energy. Automation and artificial intelligence can enhance otological medical and surgical practice. Otology is poised to enter a new renaissance period, in which many previously untreatable ear diseases will yield to newly introduced therapies.ObjectiveThis paper speculates on the direction otology will take in the coming decades.ConclusionMaking predictions about the future of otology is a risky endeavour. If the predictions are found wanting, it will likely be because of unforeseen revolutionary methods.

show abstract

Incorporating Endoscopic Ear Surgery into Your Clinical Practice

Cited by 21 publications

References 16 publications

Current trends and applications in endoscopy for otology and neurotology

Current trends and applications in endoscopy for otology and neurotology

Self-Expandable Retainer for Endoscopic Visualization in the External Auditory Canal: Proof of Concept in Human Cadavers

The future of otology

Contact Info

Product

Resources

About