Telescopic myringotomy and tube application

Abstract

Otoendoscopy is a new technique in otological surgery. The traditional surgery for otitis media with effusion (OME) is myringotomy and tube insertion using an operating microscope. In 45 children and five adults presenting to our department with otitis media with effusion, rigid endoscopic myringotomy and grommet tube insertion were performed using 2.7 mm diameter and 0 degree and 30 degrees angle telescopes under general anaesthesia for children and local anaesthesia for adults. The use of rigid endoscopes provides a large field of view, that is of excellent resolution and fidelity of colour as well as giving good side views. It can be performed in the out-patient clinic with little inconvenience to the patient and minimal risks.

Endoscopic ventilation tube placement in the pediatric age

“…When it occurs, the surgeon is sometimes forced to interrupt or convert the procedure to an otomicroscopic, a bi-manual technique. 7,9,10 In the present series, four bleedings were observed. This complication was due to inadvertent tearing of the canal skin and was resolved by the application of a sponge soaked with a vasoconstricting agent (i.e.…”

“…According to the literature, a major limit of endoscopic ear surgery is bleeding. When it occurs, the surgeon is sometimes forced to interrupt or convert the procedure to an oto‐microscopic, a bi‐manual technique . In the present series, four bleedings were observed.…”

“…Endoscopes with different diameter (2.7, 3 and 4 mm) are available. Some authors suggested the use of a smaller (2.7 mm) scope in the pediatric age . In our patients except 9 (13.6.%), a 4‐mm scope was used with no problems.…”

“…Some authors suggested the use of a smaller (2.7 mm) scope in the pediatric age. 9 In our patients except 9 (13.6.%), a 4-mm scope was used with no problems. In particular, a 2.7-mm endoscope was utilised in five children with an age under 1 year for a physiological smaller EAC.…”

“…Other authors have described the use of different lengths of endoscopes such as 6, 11 and 14 cm to carry out endoscopic management. 9,10 In our hands, the use of a longer (18 cm) scope offers a greater maneuvering space for the other tools without limiting the excursion of the operative hand by touching the camera.…”