Skip to main content
SpringerLink
Log in

Endoskopisch geführte Eingriffe an der Ossikelkette – ein Einblick

Endoscopically guided reconstruction of the ossicular chain—an introduction

  • Leitthema
  • Published:
HNO Aims and scope Submit manuscript

Zusammenfassung

Unter dem Begriff der „endoskopischen Ossikuloplastik“ werden operative Maßnahmen zusammengefasst, die eine Rekonstruktion der Ossikelkette unter endoskopischer Kontrolle beschreiben. Neben Fehlbildungen und Verletzungen sind entzündliche Veränderungen für die Mehrzahl der notwendigen Rekonstruktionen verantwortlich. Der vorliegende Artikel gibt einen kommentierten Einblick über in der aktuellen Literatur vorhandene Daten und erste eigene Erfahrungen.

Abstract

The term “endoscopic ossiculoplasty” refers to surgical methods with the intention to reconstruct the ossicular chain using endoscopic vision. Apart from malformations and injuries, inflammatory processes cause the majority of indications for ossicular reconstruction. This article offers a commented overview of current literature and preliminary personal experience.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2

Literatur

  1. Yong M, Mijovic T, Lea J (2016) Endoscopic ear surgery in Canada: a cross-sectional study. J Otolaryngol Head Neck Surg 45:4

    Article  Google Scholar 

  2. Cohen MS, Basonbul RA, Barber SR, Kozin ED, Rivas AC, Lee DJ (2018) Development and validation of an endoscopic ear surgery classification system. Laryngoscope 128(4):967–970

    Article  Google Scholar 

  3. Kiringoda R, Kozin ED, Lee DJ (2016) Outcomes in endoscopic ear surgery. Otolaryngol Clin North Am 49(5):1271–1290

    Article  Google Scholar 

  4. Presutti L, Nogueira JF, Alicandri-Ciufelli M, Marchioni D (2013) Beyond the middle ear: endoscopic surgical anatomy and approaches to inner ear and lateral skull base. Otolaryngol Clin North Am 46(2):189–200

    Article  Google Scholar 

  5. Marchioni D, Gazzini L, Bonali M, Bisi N, Presutti L, Rubini A (2020) Role of endoscopy in lateral skull base approaches to the petrous apex. Eur Arch Otorhinolaryngol 277(3):727–733

    Article  Google Scholar 

  6. Caloway CL, Basonbul RA, Ronner EA, Tolisano AM, Zhu AW, Suresh H et al (2020) Pediatric endoscopic ossiculoplasty following surgery for chronic ear disease. Laryngoscope 130(12):2896–2899

    Article  Google Scholar 

  7. Yawn RJ, Hunter JB, O’Connell BP, Wanna GB, Killeen DE, Wick CC et al (2017) Audiometric outcomes following endoscopic ossicular chain reconstruction. Otol Neurotol 38(9):1296–1300

    Article  Google Scholar 

  8. Zhu VF, Kou Y‑F, Lee KH, Kutz JW, Isaacson B (2016) Transcanal endoscopic ear surgery for the management of congenital ossicular fixation. Otol Neurotol 37(8):1071–1076

    Article  Google Scholar 

  9. Chung J, Kang J‑Y, Kim M‑S, Kim B, Choi JW (2020) Microscopic vs endoscopic ear surgery for congenital ossicular anomaly. Otolaryngol Head Neck Surg. https://doi.org/10.1177/0194599819900489

    Article  PubMed  Google Scholar 

  10. Carter JM, Hoff SR (2017) Endoscopic middle ear exploration in pediatric patients with conductive hearing loss. Int J Pediatr Otorhinolaryngol 96:21–24

    Article  Google Scholar 

  11. Ito T, Kubota T, Furukawa T, Matsui H, Futai K, Kakehata S (2019) Transcanal endoscopic ear surgery for congenital middle ear anomalies. Otol Neurotol 40(10):1299–1305

    Article  Google Scholar 

  12. Aldosari B, Thomassin J‑M (2017) Audiological results of endoscopic surgical repair of the long process of incus. World J Otorhinolaryngol Head Neck Surg 3(3):148–152

    Article  Google Scholar 

  13. Kim M‑S, Chung J, Kang J‑Y, Choi JW (2020) Transcanal endoscopic ear surgery for traumatic ossicular injury. Acta Otolaryngol 140(1):22–26

    Article  Google Scholar 

  14. Tolisano AM, Fontenot MR, Nassiri AM, Hunter JB, Kutz JW, Rivas A et al (2019) Pediatric Stapes Surgery: Hearing and Surgical Outcomes in Endoscopic vs Microscopic Approaches. Otolaryngol Head Neck Surg 161(1):150–156

    Article  Google Scholar 

  15. Bianconi L, Gazzini L, Laura E, De Rossi S, Conti A, Marchioni D (2020) Endoscopic stapedotomy: safety and audiological results in 150 patients. Eur Arch Otorhinolaryngol 277(1):85–92

    Article  Google Scholar 

  16. Yiannakis CP, Sproat R, Iyer A (2018) Preliminary outcomes of endoscopic middle-ear surgery in 103 cases: a UK experience. J Laryngol Otol 132(6):493–496

    Article  CAS  Google Scholar 

  17. Fernandez IJ, Botti C, Fermi M, Presutti L (2020) Endoscopic management of malleus head fixation in revision stapes surgery. Otol Neurotol 41(4):614–617

    Article  Google Scholar 

  18. Kozin ED, Gulati S, Kaplan AB, Lehmann AE, Remenschneider AK, Landegger LD et al (2015) Systematic review of outcomes following observational and operative endoscopic middle ear surgery. Laryngoscope 125(5):1205–1214

    Article  Google Scholar 

  19. Killeen DE, Tolisano AM, Kou YF, Kutz JW, Isaacson B (2019) Recidivism after endoscopic treatment of cholesteatoma. Otol Neurotol 40(10):1313–1321

    Article  Google Scholar 

  20. Cohen MS, Landegger LD, Kozin ED, Lee DJ (2016) Pediatric endoscopic ear surgery in clinical practice: lessons learned and early outcomes. Laryngoscope 126(3):732–738

    Article  Google Scholar 

  21. Han S‑Y, Lee DY, Chung J, Kim YH (2019) Comparison of endoscopic and microscopic ear surgery in pediatric patients: a meta-analysis. Laryngoscope 129(6):1444–1452

    Article  Google Scholar 

  22. Hargunani CA, King E, Milczuk HA, MacArthur CJ (2020) Endoscopic ear surgery in children with down syndrome. Int J Pediatr Otorhinolaryngol 131:109884

    Article  Google Scholar 

  23. James AL (2013) Endoscopic middle ear surgery in children. Otolaryngol Clin North Am 46(2):233–244

    Article  Google Scholar 

  24. Miller KA, Fina M, Lee DJ (2019) Principles of pediatric endoscopic ear surgery. Otolaryngol Clin North Am 52(5):825–845

    Article  Google Scholar 

  25. Das A, Mitra S, Ghosh D, Sengupta A (2019) Endoscopic versus microscopic management of attic cholesteatoma: a randomized controlled trial. Laryngoscope 130(10):2461–2466

    Article  Google Scholar 

  26. Das A, Mitra S, Ghosh D, Sengupta A (2020) Endoscopic ossiculoplasty: Is there any edge over the microscopic technique? Laryngoscope 130(3):797–802

    Article  Google Scholar 

  27. Swarup A, le Nobel GJ, Andrysek J, James AL (2018) The current limitations and future direction of instrument design for totally endoscopic ear surgery: a needs analysis survey. Otol Neurotol 39(6):778–784

    Article  Google Scholar 

  28. Marchioni D, Alicandri-Ciufelli M, Grammatica A, Mattioli F, Genovese E, Presutti L (2010) Lateral endoscopic approach to epitympanic diaphragm and Prussak’s space: a dissection study. Surg Radiol Anat 32(9):843–852

    Article  Google Scholar 

  29. Marchioni D, Soloperto D, Rubini A, Villari D, Genovese E, Artioli F et al (2015) Endoscopic exclusive transcanal approach to the tympanic cavity cholesteatoma in pediatric patients: our experience. Int J Pediatr Otorhinolaryngol 79(3):316–322

    Article  Google Scholar 

  30. Iannella G, De Vincentiis M, Greco A, Vicini C, De Vito A, Meccariello G et al (2019) Endoscopic approach in second stage ossicular chain reconstruction. Am J Otolaryngol 40(5):735–742

    Article  Google Scholar 

  31. Ito T, Kubota T, Takagi A, Watanabe T, Futai K, Furukawa T et al (2016) Safety of heat generated by endoscope light sources in simulated transcanal endoscopic ear surgery. Auris Nasus Larynx 43(5):501–506

    Article  Google Scholar 

  32. Kozin ED, Kiringoda R, Lee DJ (2016) Incorporating endoscopic ear surgery into your clinical practice. Otolaryngol Clin North Am 49(5):1237–1251

    Article  Google Scholar 

  33. Pothier DD (2013) Introducing endoscopic ear surgery into practice. Otolaryngol Clin North Am 46(2):245–255

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum des Saarlandes (UKS), Kirrberger Straße, Gebäude 6, 66421, Homburg/Saar, Deutschland

    Alessandro Bozzato &  Veronika Flockerzi

Authors
  1. Alessandro Bozzato
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Veronika Flockerzi
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alessandro Bozzato.

Ethics declarations

Interessenkonflikt

A. Bozzato und V. Flockerzi geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bozzato, A., Flockerzi, V. Endoskopisch geführte Eingriffe an der Ossikelkette – ein Einblick. HNO 69, 797–802 (2021). https://doi.org/10.1007/s00106-021-01062-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00106-021-01062-9

Schlüsselwörter

Keywords

Search

Navigation