Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

Abstract

Objectives As endoscopic instrumentation, techniques and knowledges have significantly improved recently, endoscopic ear surgery has become increasingly popular. Transcanal endoscopic ear surgery (TEES) can provide better visualization of hidden areas in the middle ear cavity during congenital cholesteatoma removal. We aimed to describe outcomes for TEES for congenital cholesteatoma in a pediatric population.Methods Twenty-five children (age, 17 months to 9 years) with congenital cholesteatoma confined to the middle ear underwent TEES by an experienced surgeon; 13 children had been classified as Potsic stage I, seven as stage II, and five as stage III. The mean follow-up period was 24 months. Recurrence of congenital cholesteatoma and surgical complication was observed.Results Congenital cholesteatoma can be removed successfully via transcanal endoscopic approach in all patients, and no surgical complications occurred; only one patient with a stage II cholesteatoma showed recurrence during the follow-up visit, and the patient underwent revision surgery. The other patients underwent one-stage operations and showed no cholesteatoma recurrence at their last visits. Two patients underwent second-stage ossicular reconstruction.Conclusion Although the follow-up period and number of patients were limited, pediatric congenital cholesteatoma limited to the middle ear cavity could be safely and effectively removed using TEES.

Efficacy of an Exclusive Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma

“…After selecting the articles according to the inclusion criteria, we reviewed the abstracts and the full articles, and we summarized them under specific titles as follow; table 1. According to publication year, there were 2 articles published in 2018 [31,32], 3 published in 2017 [29,33,34], one in 2016 [26], 2 in 2015 [35,36] and 1 in 2008 [37]. There were 6retrospective studies, one retrospective review [31], 2 retrospective case reviews [32,35], one retrospective case series [29], one retrospective chart [33], and one retrospective chart review [36], and 2 case series with chart review [26,34] and one case report [38,39].…”

Engineered oncolytic virus for the treatment of cholesteatoma: A pilot in vivo study

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The outcomes of endoscopic approach for attic cholesteatoma: underwater continuous drilling versus traditional intermittent drilling

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