Zastosowanie endoskopii w operacjach ucha środkowego

Abstract

Endoscopy is used in the middle ear surgery for above twenty years when decrease of cholesteatoma recurrence due to employing endoscope was revealed in comparison to standard microscopic only visualisation. Endoscopy may be the only way of visualisation in transcanal myringoplasty for the retraction pocket, stapedoplasty and transcanal ossiculoplasty. In canal wall up or second look tympanoplasty with mastoidectomy and posterior tympanotomy endoscopy may serve as an additional point of view supported the classical microscopical technique. In result of many manners in surgical treatment of chronic otitis media, there are very concept for endoscopy application. In the ENT Department at Medical University of Warsaw were performed 53 procedures by aid of endoscopy in period from September 2009 to December 2010. In this study there were 18 canal wall up tympanoplasties, 12 second look tympanoplasties and 8 canal wall down tympanoplasties. According to authors' experience endoscopy is the most useful in: There were three cases of cholesteatoma recurrence in the study found only due to endoscope support. In authors' opinion, the endoscopy is the useful tool in surgical treatment of chronic otitis media. Application of endoscopy during the middle ear surgery results in decrease in frequency of cholestatoma recurrence and increase in the effectiveness of the ossiculoplasty.

Comparison of visualization of the middle ear by microscope and endoscopes of 30° and 45° through posterior tympanotomy.

“…Currently, in surgery for chronic otitis media, we perform endoscopy-assisted tympanoplasty [9]. All stages of the procedure are carried out as a standard procedure by microscope with two-way access: posterior tympanotomy and by the external auditory canal.…”