Limits in endoscopic ear surgery

Fernandez, Ignacio Javier; Bonali, Marco; Ghirelli, Michael; Presutti, Livio

doi:10.1007/s00106-021-01051-y

Cited by 7 publications

(6 citation statements)

References 42 publications

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“…All patients were pathologically confirmed to have EACC after surgery. Referring to the typology of foreign scholars Naim [ 3 , 8 ] and domestic scholars Huang Hongming [ 16 ], a total of 85 patients with EACC (90 ears) were included in this study, with a mean age 49.93 ± 14.87 years. According to Udayabhanu staging, 43 ears (47.78%) were stage I, 40 ears (44.44%) were stage II, and 7 ears (7.78%) were stage III.…”

Section: Resultsmentioning

confidence: 99%

Clinical Analysis of 85 Cases of External Auditory Canal Cholesteatoma Surgery under Specialized Endoscopy

Guo

Qian

et al. 2022

BioMed Research International

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Objective. To investigate the clinical characteristics, surgical experience, and surgical outcomes of external auditory canal cholesteatoma (EACC) surgery under endoscopic otolaryngoscopy. Methods. A retrospective analysis of 85 EACC cases admitted to the Department of Otolaryngology, Renji Hospital, Shanghai Jiaotong University School of Medicine, from January 2016 to February 2021 was performed, followed by retrospective analysis of clinical data to explore the feasibility and clinical characteristics of all-oral endoscopic EACC surgery. A total of 85 EACC patients (90 ears) with a mean age of 49.93 ± 14.87 years were included in the study. According to Udayabhanu staging, 43 ears (47.78%) were stage I, 40 ears (44.44%) were stage II, and 7 ears (7.78%) were stage III. All patients underwent transendoscopic surgery. Results. 79 ears (87.78%) underwent endoscopic EACC resection alone (+external auditory canal tumor resection/tympanostomy tube insertion), 9 ears (10%) underwent endoscopic EACC resection+tympanostomy+tympanoplasty, 1 ear (1.11%) underwent endoscopic EACC resection+tympanoplasty, and 2 ears (2.22%) underwent EACC resection+otolaryngotomy+tympanoplasty+auditory chain reconstruction endoscopically. Of these, 7 ears (7.78%) underwent auricular cartilage-chondroplasty and 2 ears (2.22%) underwent auricular cartilage membrane repair. All patients were reviewed at 1 week, 2 weeks, 1 month, 3 months, 6 months, and 1 year postoperatively. One patient with stage II external auditory atresia had a recurrence after 6 months and underwent endoscopic ear surgery (ESS) again. One patient with stage 2 atresia recurred after 1 year and again underwent endoscopic ear surgery. The rest of the patients recovered well after the surgery, and the grafts healed well. Conclusion. EACC surgery through the external ear canal under a dedicated endoscope is a safe, reliable, and effective method. Patients with stage I and II external auditory canal cholesteatoma surgery under endoscopy have a rapid postoperative recovery with significant hearing improvement, and stage IIIA patients can also achieve good results under strict evaluation of indications.

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Section: Resultsmentioning

confidence: 99%

Clinical Analysis of 85 Cases of External Auditory Canal Cholesteatoma Surgery under Specialized Endoscopy

Guo

Qian

et al. 2022

BioMed Research International

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“…Such problem can be overcome by changing the viewpoint while moving the endoscope and the surgical instruments in the field. In addition, the progress in the learning curve converts this problem into a minor one [ 18 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…It was reported to occur if removal of stapes superstructure was done before insertion of the prosthesis. Thus, it is also unsurprising to encounter such complication in classic stapedotomy than in reversal type [ 15 , 16 , 18 , 19 , 21 , 22 ]. In our study, on the other hand, no significant difference in the incidence of incus subluxation was reported between the two groups.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic stapedotomy: classic versus reversal technique

Moneir

Khafagy

Salem

et al. 2023

Eur Arch Otorhinolaryngol

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Objectives To compare hearing outcome and surgical complications between endoscopic classic and reversal stapedotomies. Patients and methods A prospective single blinded randomized clinical study carried out on 60 patients with otosclerosis who were randomized into two groups; each containing 30 patients. Patients in group 1 underwent endoscopic classic stapedotomy. Patients in group 2 underwent endoscopic reversal stapedotomy. Both groups were compared as regards hearing outcome and surgical complications. Results The difference in the hearing outcome between the two groups was statistically non-significant. Post-operative closure of the air bone gap (ABG) within 10 dB was attained in 76.67% and 80% of patients in groups 1 and 2, respectively. The differences in the surgical complications between the two studied groups were statistically non-significant. Conclusion Endoscopic classic and reversal stapedotomies are comparable to each other as regards hearing outcome and surgical complications. The authors recommend further studies with relatively larger sample size.

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“…In recent years, endoscopic ear surgery is gaining popularity and expanding the indications in otological fields [1]. As an invaluable tool, the endoscope is a good starting point for junior doctors.…”

Section: Discussionmentioning

confidence: 99%

“…With the endoscope development in otology, a direct view of ossicles or lesions in the tympanic cavity without disturbing the mastoid becomes possible. Accompanied by a growing number of endoscopic surgeries, the complications were more commonly seen due to certain drawbacks, like singlehand practices and loss of three-dimensional images [1]. Rarely, to our knowledge, dislocated stapes protrudes into the vestibule cavity during endoscopic surgery, which results in profound hearing loss and vertigo.…”

mentioning

confidence: 95%

Minimal invasive surgery can cause devastating complications

Jiang

2022

Preprint

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To perform surgery with a minimally invasive procedure is preferred during daily practices. With the endoscope development in otology, a direct view of ossicles or lesions in the tympanic cavity without disturbing the mastoid becomes possible. Accompanied by a growing number of endoscopic surgeries, the complications were more commonly seen due to certain drawbacks, like single-hand practices and loss of three-dimensional images[1]. Rarely, to our knowledge, dislocated stapes protrudes into the vestibule cavity during endoscopic surgery, which results in profound hearing loss and vertigo.

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Limits in endoscopic ear surgery

Cited by 7 publications

References 42 publications

Clinical Analysis of 85 Cases of External Auditory Canal Cholesteatoma Surgery under Specialized Endoscopy

Clinical Analysis of 85 Cases of External Auditory Canal Cholesteatoma Surgery under Specialized Endoscopy

Endoscopic stapedotomy: classic versus reversal technique

Minimal invasive surgery can cause devastating complications

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