Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique

  • Sapna Ramkrishna ParabEmail author
  • Mubarak Muhamed Khan
Original Article


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 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interests.

Ethical Approval

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

Informed consent was obtained from all individual participants included in the study.

Supplementary material

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Supplementary material 1 (PPTX 17479 kb)
12070_2018_1411_MOESM2_ESM.mkv (50.7 mb)
Supplementary material 2 (MKV 51917 kb)


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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  • Sapna Ramkrishna Parab
    • 1
    Email author
  • Mubarak Muhamed Khan
    • 2
  1. 1.Department of OtorhinolaryngologyM.I.M.E.R. Medical CollegePuneIndia
  2. 2.Sushrut ENT Hospital, Dr. Khan’s CreationsPuneIndia

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