To evaluate the surgical outcome of two handed technique of endoscopic ear surgery with endoscope holder. Retrospective Non Randomized Clinical Study. A total of 547 endoscope holder (Justtach) assisted ear surgeries (331 cartilage tympanoplasties and 216 cholesteatoma surgeries) were operated with Justtach from July 2013 to April 2016 with a follow up period ranging from 12 to 45 months to evaluate its feasibility and results with the technique. The design of the endoscope holder, Justtach is described along with its functioning and maneuvering techniques. In the endoscopic tympanoplasty group, at 1 year follow up, the graft uptake was seen in 323 ears with three residual perforation and 5 recurrent perforations giving a success rate of 97.58%. At the 2 years follow up, the graft uptake was in 322 ears with 6 recurrent perforations and 3 residual perforations with a success rate of 97.28%. Whereas in case of endoscopic cholesteatoma surgery, there was residual cholesteatoma in 5 and recurrent in 6 out of 216 cases. The study reports the successful application and use of endoscope holder in two handed technique of endoscopic ear surgery.
Level of Evidence Level 4.
Endoscope holder Justtach Two handed endoscopic ear surgery Endoscopic cartilage tympanoplasty Endoscopic cholesteatoma surgery
This is a preview of subscription content, log in to check access.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interests.
All procedures performed in this study involved human participants and was in accordance with the ethical standards of the institutional committee and with the 1964 helsinski declaration and its later ammendments or comparable ethical standards. Institutional Ethics Committee has approved the study.
Informed consent was obtained from all individual participants included in the study.
Migirov L, Wolf M (2015) Minimally invasive transcanal endoscopic ear surgery. In: Endoscopy-innovative uses and emerging technologies 2015. https://doi.org/10.5772/60551(InTech)
Khan MM, Parab SR (2015) Concept, design and development of innovative endoscope holder system for endoscopic otolaryngological surgeries. Indian J Otolaryngol Head Neck Surg 67(2):113–119CrossRefGoogle Scholar
Khan MM, Parab SR (2016) Novel concept of attaching endoscope holder to microscope for two handed endoscopic tympanoplasty. Indian J Otolaryngol Head Neck Surg 68(2):230–240CrossRefGoogle Scholar
Khan MM, Parab SR (2011) Primary cartilage tympanoplasty: our technique and results. Am J Otolaryngol 32(5):381–387CrossRefGoogle Scholar
Khan MM, Parab SR (2013) Reinforcement of sliced tragal cartilage perichondrium composite graft with temporalis fascia in Type I tympanoplasty: our techniques and results. J Rhinolaryng Otol 1:57–62Google Scholar
Khan MM, Parab SR (2012) Day care ear surgery: our experience of 4 years. Indian J Otolaryng Head Neck Surg 64(3):280–284CrossRefGoogle Scholar
Khan MM, Parab SR (2014) Sliced Island tragal cartilage perichondrial composite graft: early results and experience. J Rhinolaryng Otol 2:4–9Google Scholar
Khan MM, Parab SR (2015) Comparative study of sliced tragal cartilage and temporalis fascia in type I tympanoplasty. J Laryngol Otol 129(1):16–22CrossRefGoogle Scholar
Khan MM, Parab SR (2015) Average thickness of tragal cartilage for slicing techniques in tympanoplasty. J Laryngol Otol 129(05):435–439CrossRefGoogle Scholar
Ayache S, Tramier B, Strunski V (2008) Otoendoscopy in cholesteatoma surgery of the middle ear. What benefits can be expected? Otol Neurotol 29(8):1085–1090CrossRefGoogle Scholar
Abdel Baki F, Badr-El-Dine M, El Saiid I, Bakry M (2002) Sinus tympani endoscopic anatomy. Otolaryngol Head Neck Surg 127:158–162CrossRefGoogle Scholar
Mattox DE (2004) Endoscopy-assisted surgery of the petrous apex. Otolaryngol Head Neck Surg 130:229–241CrossRefGoogle Scholar
Kozin ED, Lehman A, Carter M et al (2014) Thermal effects of endoscopy in a human temporal bone model: implications for endoscopic ear surgery. Laryngoscope 124(8):E332–E339CrossRefGoogle Scholar
Harugop AS, Mudhol RS, Godhi RA (2008) A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty. Indian J Otolaryngol Head Neck Surg 60:298–302CrossRefGoogle Scholar
Furukawa T, Watanabe T, Ito T, Kubota T, Kakehata S (2014) Feasibility and advantages of transcanal endoscopic myringoplasty. Otol Neurotol 35(4):e140–e145CrossRefGoogle Scholar