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Outcomes of Using Otoendoscopy During Surgery for Cholesteatoma

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Abstract

To determine the impact of using otoendoscopy at the time of primary surgery of cholesteatoma in identifying hidden “cholesteatoma remnant”. Study was prospective study. Setting was University tertiary care hospital. One hundred fifty, patients diagnosed clinically and by CT as having cholesteatoma, have been operated. 64 patients operated by using canal up technique and 86 patients operated by using canal down technique. Once all visible cholesteatoma was removed with standard microscopic techniques, otoendoscopy was utilized in every patient to identify any hidden “cholesteatoma remnant”. Despite apparent total microscopic eradication of cholesteatoma of the operated cases, otoendoscopy at time of primary surgery revealed an overall incidence of hidden cholesteatoma remnants of 18%. The incidence of hidden cholesteatoma remnants identified by otoendoscopy was 23% in the canal up group and 14% in the canal down group. Otoendoscopy should be used as an adjunct with standard microscopic technique to identify hidden cholesteatoma remnants during surgery of cholesteatoma.

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Abbreviations

CSOM:

Chronic suppurative otitis media

CWD:

Canal wall-down

CWU:

Canal wall-up

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, 4419, Egypt

    Alaa Eldin M. Elfeky, Alaa O. Khazbzk, Wail F. Nasr, Tarek A. Emara, Mohamed W. Elanwar, Hazem S. Amer & Yasser A. Fouad

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  1. Alaa Eldin M. Elfeky
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  2. Alaa O. Khazbzk
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  3. Wail F. Nasr
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  4. Tarek A. Emara
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  5. Mohamed W. Elanwar
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  6. Hazem S. Amer
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  7. Yasser A. Fouad
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Correspondence to Wail F. Nasr.

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Elfeky, A.E.M., Khazbzk, A.O., Nasr, W.F. et al. Outcomes of Using Otoendoscopy During Surgery for Cholesteatoma. Indian J Otolaryngol Head Neck Surg 71 (Suppl 2), 1036–1039 (2019). https://doi.org/10.1007/s12070-017-1084-7

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  • DOI: https://doi.org/10.1007/s12070-017-1084-7

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