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ENDOSCOPIC TYPMPANOMASTOID EXPLORATION [FUNCTIONAL ENDOSCOPIC EAR SURGERY-FEES]

By Sanjay Kumar, Muthukumar Ramamoorthy and Balasubramanian Thiagarajan

Abstract

Tympano mastoidectomy is usually performed using operating microscope. This study reports a case series of tympanomastoidectomy which was performed using an endoscope.Endoscopic Tympanomastoidectomy for atticoantral type of CSOM is an excellent technique for complete removal of cholesteatoma especially from inaccessible areas of middle ear cleft including facial recess, sinustympani Transmeatal removal of disease from mastoid antrum and even tip cells is possible withendoscopes. Preservation of as much of normal mucosa of the middle ear cleft is possible with thistechnique, which promotes early reaeration of the mastoid cavity leading to better hearing outcome.Soft wall reconstruction has distinctive advantage of short additional time for reconstruction procedures, restoration of self cleaning EAC, early post operative epithelisation of tympanicmembrane and the EAC. Limitation of endoscopic technique: The endoscopic technique of tympanomastoidectomy with softwall reconstruction is not possible in cases with large mastoid cavity and in ears where a thin lateral rim of bony meatal wall (that can support soft wall) is retained, because of extensive disease.Like Functional Endoscopic sinus surgery (FESS) for nose, Endoscopes have changed thetreatment concept of atticoantral disease, with complete removal of the disease andpreservation of normal mucosa, that restores the normal physiology of middle ear cleft. Thishas led to the development of new concept of Functional Endoscopic Ear Surgery (FEES) foratticoantral type of CSOM.

Publisher: Otolaryngology online
Year: 2012
OAI identifier: oai:ojs.jorl.net:article/25

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Citations

  1. 6m -
  2. AN 23/f - - 6m -
  3. Atsuko takami, - postoperative aeration in the middle ear and hearing outcome after canal wall down tympanoplasty with softwall reconstruction for cholesteatoma, otology and neurotology 30:478-483-2009 www.jorl.net
  4. (2002). Bakry M Sinus tympani endoscopic anatomy Otolaryngol Head Neck Surg doi
  5. Boyev KP,Poe DS.Endoscopic otologic surgery.curr opin Otolaryngol Head neck surg 1999;7:235-238 doi
  6. Ch - 5y G2
  7. DH 17/m - 2y - -
  8. DI 31/m 6y 1y G2
  9. DN 25/m 8y 1y -
  10. (1994). DS,Bottrill ID.Comparison of endoscopic and surgical explorations for perilymphatic fistulas.Am
  11. (2003). El-Meselaty K,Badr-El-Dine M,Mandour M,Darweesh R Endoscope affects decision making in cholesteatoma surgery Otolaryngol Head Neck Surg doi
  12. Endoscopic approach to tensor fold in patients with attic cholesteatoma Acta Otolaryngol
  13. Endoscopic management of acquired cholesteaoma
  14. Endoscopic management of cholesteaoma:long-term results,
  15. (2007). Frampton S,Pothier DD. Thermal properties of operative endoscopes used in otorhinolaryngology. doi
  16. IM 18/f ch 2y G2 PSR -
  17. JY 20/f 7y - 2y -
  18. KO 25/f 1y -
  19. (1993). Korachia D,Doris JMD. Endoscopic guided otosurgery in the prevention of residual cholesteatoma. Larygonscope
  20. LK 28/f 3y - -
  21. LS 19/f ch 2y 6y 1y G3
  22. ML 40/f 2y 12y G2
  23. MR 24/f - - 6m -
  24. MU 16/f 1y 1y G2
  25. NA 28/F 2y 6m G1
  26. (2008). Otoendoscopy in cholesteatoma surgery of the middle ear.What benefits can be expected? Otol Neurotol 2008;29 :1085-90 yache S Dan l’optique de jeter un oeil dans l’oreille Le Journal Faxe d’ORL fevrier
  27. PR 19/f 1y G1
  28. PR 32/m ch Ch 20y 15y G2
  29. Presutti Endoscopic evaluation of middle ear ventilation route blockage Am J Otolarngol HN Med Surg 2009(current revision)
  30. RA 18/m 6m 2y G2
  31. RA 28/m 7y 1y G3
  32. RH 18/m ch Ch 10y 10y G1
  33. (2008). SA,Frampton S,Pothier DD Thermal properties of operative endoscopes used in otorhinolaryngology J Laryngol Otol
  34. SE 35/f 15y 3y G3
  35. SH 12/m 1y - 6m -
  36. Shinkawa H Endoscopic transtympanic tympanoplasty in the treatment of conductive hearing Loss:early results.
  37. (2005). Shinkawa H Evaluation of attic retraction pockets by microendoscopy Otol Neurotol
  38. Shinkawa H Office-based endoscopic procedure for diagnosis in conductive hearing loss cases Laryngoscope
  39. SI 36/m 2y 2y G1
  40. SI,Silverstein H,Willcox TO. Endosocopy in otology and neurotology.Am jOtol 1994;15;168-172
  41. SN 24/m - Ch - 10y G2
  42. Soft-wall reconstruction for cholesteatoma surgery. Reappraisal .
  43. SR 27/m 6y 6m 5y G1
  44. SR 35/f 3y 1y 3y G1
  45. Surgery of sinus tympani cholesteatoma.Endoscopic necessity
  46. Tarabichi M.Endoscopic middle ear surgery. Ann otol Rhinol Laryngol
  47. TH 38/f 15y G1
  48. (1992). The Correlation of middle ear aeration with mastoid pneumatization. The mastoid as a pressure buffer. Eur Arch Otorhinolaryngol
  49. The Middle Ear the role of Ventilation
  50. Transcanal Endocopic Approach to the Sinus Tympani: A Clinical Report Otol Neurotol doi
  51. Tympanoscopy to increase the accuracy of diagnosis in conductive hearing loss.j Laryngol Otal
  52. Value of ear endoscopy in cholesteatoma surgery doi
  53. VI 11/m - 1y - 6m G1
  54. VI 22/m 2y Ch 2y 5y G1
  55. VK 28/m 1y 6m - -
  56. VM 28/f - Ch - 5y G3
  57. (1998). Wackym PA,King WA,Barker FG,Poe DS. Endosopic-assisted vestibular neurectomy.
  58. Y.Effective photography in otolaryngology –head and neck surgery : endosopic photography of the middle ear .Otolaryngol Head Neck Surg
  59. YA 36/f 20y 15y G1

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