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endoscopic ear surgery in middle ear cholesteatoma

Laparoscopic, endoscopic and Robotic surgery 2021年第1期4卷 24-29页

作者： Satish Nair J.G.Aishwarya Nagamani Warrier V Pavithra Aditya Jain Mehrin Shamim Krishna Ramanathan Pooja K.Vasu Department of ENT-HNS Apollo HospitalsBangaloreKarnatakaIndia

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,p<0.001),and air-bone gap(33.5±11.1 dB vs.16

关键词： Middle ear cholesteatoma endoscopic technique transcanal endoscopic ear surgery

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Current trends and applications in endoscopy for otology and neurotology

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World Journal of Otorhinolaryngology-Head and Neck surgery 2021年第2期7卷 101-108页

作者： Sarah E.Ridge Kunal R.Shetty Daniel J.Lee Eaton-Peabody Laboratories Massachusetts Eye and Ear InfirmaryBostonMAUSA Deportment of Otolorynsolosy Massachusetts Eye and Ear InfirmaryHarvard Medical SchoolBostonf MAf USA

There has been a rapid increase in endoscopic ear surgery for the management of middle ear and lateral skull base disease in children and adults over the last *** this review paper,we discuss the current trends and applications of the endoscope in the field of otology and *** of the endoscope include excellent ergonomics,compatibility with pediatric anatomy,and improved access to the middle ear through the external auditory *** endoscopic ear surgery has demonstrated comparable outcomes in the management of cholesteatoma,tympanic membrane perforations,and otosclerosis as compared to microscopic approaches,while utilizing less invasive surgical corridors and reducing the need for postauricular *** a postauricular approach is required,the endoscopic-assisted transmastoid approach can avoid a canal wall down mastoidectomy in cases of *** endoscope also has utility in treatment of superior canal dehiscence and various skull base lesions including glomus tumors,meningiomas,and vestibular *** of the operating room,the endoscope can be used during examination of the outer and middle ear and for debridement of complex mastoid *** these reasons,the endoscope is currently poised to transform the field of otology and neurotology.

关键词： endoscopic ear surgery transcanal endoscopic ear surgery Transmastoid endoscopic ear surgery Otoendoscopy Otology Neurotology

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