Nuances in transcanal endoscopic approach to benign middle ear tumours in adult patients

Larrosa, Francisco; González-Sánchez, Nesly; Remacha, Joan; Sandoval, Marta; Bernal‐Sprekelsen, Manuel

doi:10.1016/j.otoeng.2022.08.002

Cited by 2 publications

(2 citation statements)

References 19 publications

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“…The exclusive transcanal endoscopic approach to glomus tympanicum can be a treatment option in tumours confined to the middle ear (classes A1–B1) [ 3 , 4 , 7 ].…”

Section: Indicationsmentioning

confidence: 99%

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Blue laser for the exclusive endoscopic transcanal approach to middle ear paraganglioma

Quer-Castells,

Sandoval,

Larrosa

2024

Eur Arch Otorhinolaryngol

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Background The management of glomus tympanicum tumours can be challenging. Blue laser coagulation may improve bleeding control thus facilitating an endoscopic transcanal excision. The objective of this presentation is to illustrate the authors’ experience using this novel tool. Methods Case report of a patient that underwent exclusive endoscopic transcanal blue laser surgery of a class A2 glomus tympanicum tumour in a tertiary referral center. Conclusion The present study provides evidence of the safety and efficacy of endoscopic blue laser surgery, for the minimally invasive treatment of early-stage glomus tympanicum tumours.

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“…The exclusive transcanal endoscopic approach to glomus tympanicum can be a treatment option in tumours confined to the middle ear (classes A1–B1) [ 3 , 4 , 7 ].…”

Section: Indicationsmentioning

confidence: 99%

“…However, the one-handed, management of these bleeding lesions can be challenging. In addition, experience in this field is limited since these tumours are uncommon [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Blue laser for the exclusive endoscopic transcanal approach to middle ear paraganglioma

Quer-Castells,

Sandoval,

Larrosa

2024

Eur Arch Otorhinolaryngol

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Endoscopic transcanal coblation excision of glomus tympanicum: a novel technique

Salem,

Ghoneim,

Ahmed

et al. 2024

Eur Arch Otorhinolaryngol

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Objective To evaluate the feasibility of coblation in excision of glomus tympanicum tumors. Patients and methods A retrospective study carried out over 28 patients with types I and II glomus tympanicum tumors according to GLASSCOCK-JACKSON classification. Preoperative radiological and endocrinal evaluation were performed. All patients underwent endoscopic transcanal excision of their glomus tympanicum tumors using coblation. Results None of the patients developed recurrence during the 1-year follow up period proved radiologically. None of the patients developed facial palsy postoperatively. Differences between preoperative and postoperative dizziness and taste disturbance were statistically non-significant. Tinnitus disappeared completely in 22 patients postoperatively. A statistically significant reduction in Tinnitus Handicap Inventory (THI) after surgery was found. Statistically significant reductions in postoperative air conduction (AC) threshold and air bone gap (ABG) were recorded while bone conduction (BC) threshold showed statistically non-significant change. Conclusion Coblation is an effective and safe tool in excision of glomus tympanicum tumors. Further studies comparing coblation with laser and piezosurgery are strongly recommended.

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Nuances in transcanal endoscopic approach to benign middle ear tumours in adult patients

Cited by 2 publications

References 19 publications

Blue laser for the exclusive endoscopic transcanal approach to middle ear paraganglioma

Blue laser for the exclusive endoscopic transcanal approach to middle ear paraganglioma

Endoscopic transcanal coblation excision of glomus tympanicum: a novel technique

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