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Endoscopic transcanal middle ear surgery

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The advantages and limitations of the microscope have defined postauricular access as the surgical intervention of choice for the treatment of diseases of the middle ear. The wide-angle view provided by the endoscope enables transcanal access to the tympanic cavity, and its otherwise difficult-to-reach extensions: The attic, sinus tympani, facial recess, and hypotympanum. These areas are the primary sites of disease and surgical failure to cure. The endoscope also allows an all encompassing view of the three main elements in tympanoplasty surgery: The ear canal, tympanic membrane, and the tympanic ring. This report is a summary of the author’s two 17 years of experience with the use of transcanal operative endoscopy as the primary approach to the management of middle ear disease.

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References

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

    Article  CAS  PubMed  Google Scholar 

  2. Hawke M (1982) Telescopic otoscopy and photography of the tympanic membrane. J Otolaryngol 11:35–39

    CAS  PubMed  Google Scholar 

  3. Nomura Y (1982) Effective photography in otolaryngology-head and neck surgery: Endoscopic photography of the middle ear. Otolaryngol Head Neck Surg 90:395–398

    CAS  PubMed  Google Scholar 

  4. Takahashi H, Honjo I, Fujita A, Kurata K (1990) Transtympanic endoscopic findings in patients with Otitis media with effusion. Arch Otolaryngol Head Neck Surg 116: 1186–1189

    CAS  PubMed  Google Scholar 

  5. Poe DS, Bottrill ID (1994) Comparison of endoscopic and surgical explorations for perilymphatic fistulas. Am J Otol 15:735–738

    CAS  PubMed  Google Scholar 

  6. McKennan KX (1993) Endoscopic ’second look’ mastoidoscopy to rule out residual epitympanic/mastoid cholesteatoma. Laryngoscope 103:810–814

    CAS  PubMed  Google Scholar 

  7. Tarabichi M (1997) Endoscopic management of acquired cholesteatoma. Am J Otol 18:544–549

    CAS  PubMed  Google Scholar 

  8. Tarabichi M (1999) Endoscopic middle ear surgery. Ann Otol Rhinol Laryngol 108:39–46

    CAS  PubMed  Google Scholar 

  9. Tarabichi M (2000) Endoscopic management of cholesteatoma: Long-term results. Otolaryngol Head Neck Surg 122:874–881

    Article  CAS  PubMed  Google Scholar 

  10. Tarabichi M (2004) Endoscopic management of limited attic cholesteatoma. Laryngoscope 114:1157–1162

    Article  PubMed  Google Scholar 

  11. Kakehata S, Futai K, Sasaki A, Shinkawa H (2006) Endoscopic transtympanic tympanoplasty in the treatment of conductive hearing loss: early results. Otol Neurotol 27(1):14–19

    Article  PubMed  Google Scholar 

  12. Kakehata S, Hozawa K, Futai K, Shinkawa H (2005) Evaluation of attic retraction pockets by microendoscopy. Otol Neurotol 26(5):834–837

    Article  PubMed  Google Scholar 

  13. Kakehata S, Futai K, Kuroda R, Shinkawa H (2004) Office-based endoscopic procedura for diagnosis in conductive hearing loss cases using OtoScan Laser-Assisted Myringotomy. Laryngoscope 114(7):1285–1289

    Article  PubMed  Google Scholar 

  14. Badr-el-Dine M (2002) Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol 23:631–635

    Article  CAS  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  16. Yung MW (2001) The use of middle ear endoscopy: Has residual cholesteatoma been eliminated? J Laryngol Otol 115:958–961

    CAS  PubMed  Google Scholar 

  17. Ayache S, Tramier B, Strunski V (2008) Otoendoscopy in cholesteatoma surgery of the middle ear. What benefits can be expected?. Otol Neurotol 29(8): 1085–1090

    Article  PubMed  Google Scholar 

  18. Abdel Baki F, Badr-El-Dine M, El Saiid I, Bakry M (2002) Sinus tympani endoscopic anatomy. Otolaryngol Head Neck Surg 127:158–162

    Article  PubMed  Google Scholar 

  19. Mattox DE (2004) Endoscopy-assisted surgery of the petrous apex. Otolaryngol Head Neck Surg 130:229–241

    Article  PubMed  Google Scholar 

  20. Magnan J, Sanna M (2003) Endoscopy in neuro-otology. Stuttgart: Georg Thieme Verlag

    Google Scholar 

  21. Badr-El-Dine M, El-Garem HF, Talaat AM, Magnan J (2002) Endoscopically Assisted Minimally Invasive Microvascular Decompression of Hemifacial Spasm. Otology Neurotology 23:122–128

    Article  CAS  PubMed  Google Scholar 

  22. El-Garem HF, Badr-El-Dine M, Talaat AM, Magnan J (2002) Endoscopy as a Tool in Minimally Invasive Trigeminal Neuralgia Surgery. Otology and Neurotology 23:132–135

    Article  CAS  PubMed  Google Scholar 

  23. Badr-El-Dine M, El-Garem HF, El-Ashram Y, Talaat AM, Magnan J (2002) Endoscope Assisted Minimal Invasive Microvascular Decompression of Hemifacial spasm. Abstracts of the 9th International Facial Nerve Symposium. Otology Neurotology Suppl 23(3):68–72

    Article  Google Scholar 

  24. Rosenberg SI, Sirverstein H, Willcox TO, Gordon MA (1994) Endoscopy in otology and neurotology. Am J Otol 15:168–72

    Article  CAS  PubMed  Google Scholar 

  25. Presutti L, Marchioni D, Mattioli F, Villari D, Alicandri-Ciufelli M (2008) Endoscopic Management of Acquired Cholesteatoma: Our Experience. Otolaryngol Head Neck Surg 37(4) 1–7

    Google Scholar 

  26. Marchioni D, Mattioli F, Ciufelli MA, Presutti L (2008) Endoscopic approach to tensor fold in patients with attic cholesteatoma. Acta Otolaryngol 19:1–9

    Google Scholar 

  27. Tos M (1982) Modification of combined-approach tympanoplasty in attic cholesteatoma. Arch Otolaryngol 108:772–8

    CAS  PubMed  Google Scholar 

  28. Sheehy JL, Brackmann DE, Graham MD (1977) Cholesteatoma surgery: Residual and recurrent disease. A review of 1,024 cases. Ann Otol Rhinol Laryngol 86:451–462

    CAS  PubMed  Google Scholar 

  29. Glasscock ME, Miller GW (1976) Intact canal wall tympanoplasty in the management of cholesteatoma. Laryngoscope 86:1639–1657

    Article  CAS  PubMed  Google Scholar 

  30. Kinney SE (1982) Five years experience using the intactcanal wall tympanoplasty with mastoidectomy for cholesteatoma: preliminary report. Laryngoscope 92:1395–1400

    CAS  PubMed  Google Scholar 

  31. Adad B, Rasgon BM, Ackerson L (1999) Relationship of the facial nerve to the tympanic annulus: A direct anatomic examination. Laryngoscope 109:1189–92

    Article  CAS  PubMed  Google Scholar 

  32. Gangopadhyay KP, McArthur D, Larsson SG (1996) Unusual anterior course of the sigmoid sinus: report of a case and review of the literature. J Laryngology Otology 110:984–986

    CAS  Google Scholar 

  33. Philip J (1994) Moore. The high jugular bulb in ear surgery: three case reports and a review of the literature. J Laryngology Otology 108:772–775

    Google Scholar 

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Correspondence to Muaaz Tarabichi.

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Tarabichi, M. Endoscopic transcanal middle ear surgery. Indian J Otolaryngol Head Neck Surg 62, 6–24 (2010). https://doi.org/10.1007/s12070-010-0007-7

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