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Endoscopic Ear Surgery: Our Experience

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Abstract

Endoscopes are presently used as an adjunct to microscopic surgery for better visualization of hidden areas of middle ear or they are used as a primary modality replacing the microscopes. We performed primary endoscopic ear surgery at a tertiary care center to evaluate the scope of endoscopic ear surgeries and to evaluate the anatomical, functional and quality of life outcomes. We evaluated 103 cases of which included patients with chronic otitis media mucosal disease (64), chronic otitis media squamous disease (29), otosclerosis (6), and benign ear tumors (4). In our study, the structural and functional outcomes of endoscopic ear surgeries were comparable to microscopic techniques however it conferred superior patient related outcomes of cosmesis, post-operative pain and early return to daily routine. Thus endoscopic ear surgery is a minimally invasive alternative option to microscopic techniques in the field of otology.

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References

  1. Furukawa T, Watanabe T, Ito T, Kubota T, Kakehata S (2014) Feasibility and advantages of transcanal endoscopic myringoplasty. Otol Neurotol 35(4):e140–e145

    Article  Google Scholar 

  2. Lade H, Choudhary SR, Vashishth A (2014) Endoscopic versus microscopic myringoplasty: a different perspective. Eur Arch Otorhinolaryngol 271(7):1897–1902

    Article  Google Scholar 

  3. Patel J, Aieyer RG, Gajjar Y et al (2015) Endoscopic tympanoplasty vs microscopic tympanoplasty in tubotympanic CSOM: a comparative study of 44 cases. Int J Res Med Sci 3(8):1953–1957

    Article  Google Scholar 

  4. Rajiv S, Channegowda C, Sanjay BP (2016) Retrospective evaluation of the surgical result of tympanoplasty for inactive COM and comparison of endoscopic versus microscopic tympanoplasty. Ind J Otology 22(3):171

    Article  Google Scholar 

  5. Dundar R, Kulduk E, Soy FK, Aslan M et al (2014) Endoscopic versus microscopic approach to type-I tympanoplasty in children. IJPORL 78(7):1084–1089

    Google Scholar 

  6. Ayache S (2013) Cartilaginous myringoplasty: the endoscopic transcanal procedure. Eur Arch Otorhinolaryngol 270(3):853–860

    Article  Google Scholar 

  7. El-Guindy A (1992) Endoscopic transcanal myringoplasty. J Laryngol Otol 106(6):493–495

    Article  CAS  Google Scholar 

  8. Yadav SPS, Aggarwal N, Julaha M, Goel A (2009) Endoscope assisted myringoplasty. Singap Med J 50(5):510–512

    CAS  Google Scholar 

  9. Harugop A, Mudhol R, Godhi R (2008) A comparative study of endoscope assisted myringoplasty and microscope assisted myringoplasty. Ind J Otolaryngol Head 60(4):298–302

    Article  CAS  Google Scholar 

  10. Karhuketo TS, Ilomaki JH, Puhakka HJ (2001) Tympanoscope-assisted myringoplasty. ORL J Otolaryngol Relat Spec 63(6):353–357

    Article  CAS  Google Scholar 

  11. Nogueira JFJ, Martins MJB, Aguiar CV, Pinheiro AI (2011) Fully endoscopic stapes surgery (stapedotomy): techniques and preliminary results. Braz J Otorhinolaryngol 77(6):721–727

    Article  Google Scholar 

  12. Dursun E, Özgür A, Terzi S, Oğurlu M, Coşkun ZÖ, Demirci M (2016) Endoscopic transcanal stapes surgery: our technique and outcomes. Kulak Burun Bogaz Ihtis Derg 26(4):201–206

    Article  Google Scholar 

  13. Migirov L, Wolf M (2013) Endoscopic transcanal stapedotomy: how do I do it. Eur Arch Otorhinolaryngol 270:1547–1549

    Article  Google Scholar 

  14. Bianconi L, Gazzini L, Laura E et al (2020) Endoscopic stapedotomy: safety and audiological results in 150 patients. Eur Arch Otorhinolaryngol 277(1):85–92

    Article  Google Scholar 

  15. Das A, Mitra S, Ghosh D, Sengupta A (2019) Endoscopic stapedotomy: overcoming limitations of operating microscope. Ear Nose Throat J 9:145561319862216

    Google Scholar 

  16. Daneshi A, Jahandideh H (2016) Totally endoscopic stapes surgery without packing: novel technique bringing most comfort to the patients. Eur Arch Otorhinolaryngol 273(3):631–634

    Article  Google Scholar 

  17. Kojima H, Komori M, Chikazawa S et al (2014) Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 124(1):266–271

    Article  Google Scholar 

  18. Presutti L, Anschuetz L, Rubini A et al (2018) The Impact of the transcanal endoscopic approach and mastoid preservation on recurrence of primary acquired attic cholesteatoma. Otol Neurotol 39(4):445–450

    Article  Google Scholar 

  19. Marchioni D, Soloperto D, Rubini A 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 

  20. Migirov L, Yakirevitch A, Wolf M (2015) The utility of minimally invasive transcanal endoscopic approach for removal of residual/recurrent cholesteatoma: preliminary results. Eur Arch Otorhinolaryngol 272(11):3241–3246

    Article  Google Scholar 

  21. Cohen MS, Basonbul RA, Kozin ED, Lee DJ (2017) Residual cholesteatoma during second-look procedures following primary pediatric endoscopic ear surgery. Otolaryngol Head Neck Surg 157(6):1034–1040

    Article  Google Scholar 

  22. Presutti L, Gioacchini FM, Alicandri-Ciufelli M, Villari D, Marchioni D (2014) Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review. Acta Otorhinolaryngol Ital 34(3):153–157

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Isaacson B, Wick CC, Hunter JB (2017) Endoscopic ossiculoplasty. Oper Tech Otolaryngol 28:39–43

    Article  Google Scholar 

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

    Article  Google Scholar 

  25. Caloway CL, Basonbul RA, Ronner EA et al (2020) Pediatric endoscopic ossiculoplasty following surgery for chronic ear disease. Laryngoscope. https://doi.org/10.1002/lary.28526

    Article  PubMed  Google Scholar 

  26. Manzoor NF, Nassiri AM, Rivas A (2019) Endoscopic Ossiculoplasty. Curr Otorhinolaryngol Rep 7:244–247

    Article  Google Scholar 

  27. Yawn RJ, Hunter JB, O’Connell BP et al (2017) Audiometric outcomes following endoscopic ossicular chain reconstruction. Otol Neurotol 38:1296–1300

    Article  Google Scholar 

  28. 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 

  29. Marchioni D, Alicandri-Ciufelli M, Gioacchini F, Bonali M, Presutti L (2013) Transcanal endoscopic treatment of benign middle ear neoplasms. Eur Arch Otorhinolaryngol 270(12):2997–3004

    Article  Google Scholar 

  30. Daneshi A, Asghari A, Mohebbi S, Farhadi M, Farahani F, Mohseni M (2017) Total endoscopic approach in glomus tympanicum surgery. Iran J Otorhinolaryngol 29(95):305–311

    PubMed  PubMed Central  Google Scholar 

  31. Pollak N, Soni RS (2017) Endoscopic excision of a tympanic paraganglioma: training the next generation of ear surgeons. World J Otorhinolaryngol Head Neck Surg 3(3):160–162

    Article  Google Scholar 

  32. Ohki M, Kikuchi S (2019) A small glomus tympanicum tumor resected by minimally invasive transcanal endoscopic approach. Case Rep Otolaryngol 2019:5780161

    PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of ENT-HNS, Apollo Hospitals, Bannerghatta Road, Bangalore, Karnataka, 560076, India

    Satish Nair & J. G. Aishwarya

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  1. Satish Nair
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  2. J. G. Aishwarya
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Contributions

SN Substantial contributions to the conception or design of the work, revising it critically for important intellectual content, final approval of the version to be published. JGA Substantial contributions to the acquisition of data for the work, revising it critically for important intellectual content and final approval of the version to be published. SN, JGA Substantial contributions to the analysis and interpretation of data for the work and drafting the work. Final approval of the version to be published.

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Correspondence to J. G. Aishwarya.

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Nair, S., Aishwarya, J.G. Endoscopic Ear Surgery: Our Experience. Indian J Otolaryngol Head Neck Surg 74 (Suppl 1), 263–271 (2022). https://doi.org/10.1007/s12070-020-02042-1

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  • DOI: https://doi.org/10.1007/s12070-020-02042-1

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