Endoscopic and minimally-invasive ear surgery: A path to better outcomes

作     者：Natasha Pollak 

作者机构：Department of Otolaryngology-Head and Neck Surgery Lewis Katz School of Medicine Temple University Philadelphia PA USA 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2017年第3卷第3期

页      面：129-135页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Endoscopic ear surgery Minimally-invasive ear surgery Ear surgery outcomes Ear surgery Otologic surgery Mastoid surgery 

摘      要：The development of endoscopic ear surgery techniques promises to change the way we approach ear *** this review paper,we explore the current evidence,seek to determine the advantages of endoscopic ear surgery,and see if these advantages are both measureable and *** wide field of view of the endoscope allows the surgeon to better visualize the various recesses of the middle ear *** make it possible to address the target pathology transcanal,while minimizing dissection or normal tissue done purely for exposure,leading to the evolution of minimally-invasive ear surgery and reducing *** used in chronic ear surgery,endoscopy appears to have the potential to significantly reduce cholesteatoma recidivism *** endoscopes as an adjunct can increase the surgeon s confidence in total cholesteatoma *** doing so,endoscopes reduce the need to reopen the mastoid during second-look surgery,help preserve the canal wall,or even change post-cholesteatoma follow-up protocols by channeling more patients away from a planned second-look.