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The Egyptian Journal of Otolaryngology
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Endoscope-assisted surgery: a major adjunct in cholesteatoma surgery

The Egyptian Journal of Otolaryngology volume 29, pages 66–70 (2013)Cite this article

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Abstract

Objective

The purpose of this study was to evaluate the role of middle-ear endoscopy in the effective control over cholesteatoma through visualizing hidden areas of the middle-ear cleft.

Materials and methods

A total of 60 ears with retraction pocket cholesteatoma were operated upon. They were subdivided into 40 cases operated upon using the canal wall up technique and another 20 cases operated upon using transcanal atticotomy. Endoscopically guided ear surgery was incorporated complementary to the microscope as a principal part in the procedure.

Results

The incidence of cholesteatoma in the facial recess that was visualized by the endoscope was 25% compared with 20% by the microscope, whereas the incidence of detection of cholesteatoma in the sinus tympani by the endoscope was 35% compared with 5% by the microscope. Cholesteatoma in the anterior epitympanic recess was detected by the endoscope in 10% of ears compared with 0% by the microscope. In this series, no morbidity or complication was encountered secondary to the use of endoscopes in the mastoid or the middle ear.

Conclusion

Endoscope-assisted ear surgery has many benefits in cholesteatoma surgery as endoscopy helps explore hidden areas of the middle-ear cavity with a much lesser requirement for surgical exposure and the need to drill healthy bone; therefore, effective control over the disease can be achieved, thus establishing the concept of functional endoscopic ear surgery.

References

  1. Sallatery WH. Pathology and clinical course of inflammatory diseases of the middle ear. In: Glasscock ME, Gulya AJ, editors. Glasscock-Shambaugh surgery of the ear. Hamilton, Ontario: BC Decker Inc.; 2003. pp. 429–432.

    Google Scholar 

  2. Young N, Chole R. Retraction pocket cholesteatoma. Curr Opin Otolaryngol Head Neck Surg. 2002; 10: 355–359.

    Article  Google Scholar 

  3. Bauer M. Ossiculoplasty: autogenous bone grafts, 34 years experience. Clin Otolaryngol Allied Sci. 2000; 25: 257–263.

    Article  CAS  PubMed  Google Scholar 

  4. Tarabichi M. Endoscopic management of limited attic cholesteatoma. Laryngoscope. 2004; 114: 1157–1162.

    Article  PubMed  Google Scholar 

  5. Presutti L, Marchioni D, Mattioli F, Villari D, Alicandri-Ciufelli M. Endoscopic management of acquired cholesteatoma: our experience. J Otolaryngol Head Neck Surg. 2008; 37: 481–487.

    Google Scholar 

  6. Yadav SPS, Aggarwal N, Julaha M, Goel A. Endoscope-assisted myringoplasty. Singapore Med J. 2009; 50: 510–512.

    CAS  PubMed  Google Scholar 

  7. Tarabichi M. Endoscopic management of cholesteatoma: long-term results. Otolaryngol Head Neck Surg. 2000; 122: 874–881.

    Article  CAS  Google Scholar 

  8. Magnan J, Chays A, Lepetre C, Pencroffi E, Locatelli P. Surgical perspectives of endoscopy of the cerebellopontine angle. Am J Otol. 1994; 15: 366–370.

    CAS  Google Scholar 

  9. Pratt LL. Complications associated with the surgical treatment of cholesteatoma. Laryngoscope. 1983; 93: 289–291.

    Article  CAS  Google Scholar 

  10. Migirov L, Shapira Y, Horowitz Z, Wolf M. Exclusive endoscopic ear surgery for acquired cholesteatoma: preliminary results. Otol Neurotol. 2011; 32: 433–436.

    Article  Google Scholar 

  11. Ayache S, Tramier B, Strunski V. Otoendoscopy in cholesteatoma surgery of the middle ear: what benefits can be expected? Otol Neurotol. 2008; 29: 1085–1090.

    Article  Google Scholar 

  12. El-Meselaty K, Badr-El-Dine M, Mandour M, Mourad M, Darweesh R. Endoscope affects decision making in cholesteatoma surgery. Otolaryngol Head Neck Surg. 2003; 129: 490–496.

    Article  CAS  Google Scholar 

  13. Bottrill ID, Poe DS. Endoscope-assisted ear surgery. Am J Otol. 1995; 16: 158–163.

    Article  CAS  Google Scholar 

  14. Yung MW. The use of middle ear endoscopy: has residual cholesteatoma been eliminated? J Laryngol Otol. 2001; 115: 958–961.

    CAS  Google Scholar 

  15. McKennan KX. Endoscopic ‘second look’ mastoidoscopy to rule out residual epitympanic/mastoid cholesteatoma. Laryngoscope. 1993; 103: 810–814.

    CAS  Google Scholar 

  16. Youssef TF, Poe DS. Endoscope-assisted second-stage tympanomastoidectomy. Laryngoscope. 1997; 107: 1341–1344.

    Article  CAS  Google Scholar 

  17. Thomassin JM, Korchia D, Doris JMD. Endoscopic-guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope. 1993; 103: 939–943.

    Article  CAS  Google Scholar 

  18. Tarabichi M. Endoscopic middle ear surgery. Ann Otol Rhinol Laryngol. 1999; 108: 39–46.

    Article  CAS  Google Scholar 

  19. Tarabichi M. Endoscopic management of acquired cholesteatoma. Am J Otol. 1997; 18: 544–549.

    CAS  Google Scholar 

  20. Badr-El-Dine M. Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol. 2002; 23: 631–635.

    Article  CAS  Google Scholar 

  21. Tarabichi M. Transcanal endoscopic management of cholesteatoma. Otol Neurotol. 2010; 31: 580–588.

    Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Otolaryngology, ENT Department, Alexandria School of Medicine, University of Alexandria, Ramleh Station, Alexandria, Egypt

    Mohammed Badr-El-Dine, Yasser G. Shewel MD, Ahmad A. Ibrahim & Mohammed Khalifa

Authors
  1. Mohammed Badr-El-Dine
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  2. Yasser G. Shewel MD
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  3. Ahmad A. Ibrahim
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  4. Mohammed Khalifa
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Corresponding author

Correspondence to Yasser G. Shewel MD.

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There are no conflicts of interest.

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Badr-El-Dine, M., Shewel, Y.G., Ibrahim, A.A. et al. Endoscope-assisted surgery: a major adjunct in cholesteatoma surgery. Egypt J Otolaryngol 29, 66–70 (2013). https://doi.org/10.7123/01.EJO.0000426391.27924.84

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  • DOI: https://doi.org/10.7123/01.EJO.0000426391.27924.84

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