Endoscopic ear surgery in middle ear cholesteatoma
作者机构：Department of ENT-HNSApollo HospitalsBangaloreKarnatakaIndia
出 版 物：《Laparoscopic, Endoscopic and Robotic Surgery》 (腔镜、内镜与机器人外科（英文）)
年 卷 期：2021年第4卷第1期
页 面：24-29页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Middle ear cholesteatoma Endoscopic technique Transcanal endoscopic ear surgery
摘 要：Objective:Endoscope has been used as diagnostic tool for recidivism and as an adjunct to microscopic technique in the management of *** present transcanal endoscopic ear surgery(TEES)is being used as a minimally invasive alternative for microscopic *** aim to evaluate the feasibility,structural,functional and quality of life outcomes of endoscopic technique in middle ear ***:This prospective study was conducted at a tertiary care hospital from January 2017 to January 2018 including 32 adult patients who were treated by TEES for middle ear *** of endoscopic technique was assessed by the conversion rates,visualization of middle ear structures and *** outcomes were evaluated in terms of graft uptake at the third month follow-up and presence of residual or recurrent *** outcomes were evaluated in terms of postoperative air-bone gap closure at third month *** outcomes in terms of post-operative pain,cosmetic score,day of return to daily activities and patient comfort scores were *** quality of life outcomes were evaluated using chronic ear survey(CES)and short form questionnaire12 version 2(SF-12V2)which are disease specific and general quality of life assessment tools ***:Out of 32 patients,endoscopic intact canal wall mastoidectomy was done for 28 and endoscopic canal wall down mastoidectomy in 4 ***(3.1%)patient had to be converted to microscopic *** follow-up period was 32.8 months(9e46 months).There were no post-operative complications in any of our *** mean middle ear structural visibility index score was 8.4±1.4 with the use of zero-degree *** uptake rate at third month follow-up was 100%.Two(6.3%)patients had recurrent disease at 6 months follow-up and were treated by revision endoscopic *** air conduction(51.3±20.2 dB vs.34.5±20.4 dB,p0.001),and air-bone gap(33.5±11.1 dB vs.16
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