Role of endoscopy in surgical management of cholesteatoma:A systematic review

作     者：Bhavika Verma Yogesh G.Dabholkar Bhavika Verma;Yogesh G.Dabholkar

作者机构：Department of ENTSchool of MedicineD.Y.Patil UniversityNavi MumbaiIndia 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2020年第15卷第4期

页      面：166-170页

核心收录：

学科分类：1003[医学-口腔医学] 1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Endoscopic ear surgery Systematic review Adjunctive endoscopy Cholesteatoma Mastoidectomy Recurrence 

摘      要：Endoscopes are increasingly being used in cholesteatoma surgeries either as an adjunct to microscopes or sometimes exclusively.Their role at present is more as adjunct to microscope which still remains the work-horse for mastoidectomy.However,as endoscopy and endoscopic instruments are increasingly getting refined,role of endoscopy in management of cholesteatoma is continuously being appraised with progressively newer studies.This review aims to assess outcomes of several studies in which endoscopic techniques were used in cholesteatoma surgery and recognize common trends.An extensive review of literature on this theme was performed.Sixteen studies comprising of 1685 patients treated endoscopically either exclusively or in combination with microscope were included.Intra-operatively,in 267(15.82%)cases,residual cholesteatoma was identified by endoscope in hidden areas after completion of surgery with microscope.On follow-up,recidivism was identified in 108 cases(6.4%)in second look procedures.Common sites of recurrence were hidden areas like sinus tympani.This review while acknowledging the value of microscope,highlights the merit of endoscope usage in cholesteatoma surgery and its role in reducing recurrence.