Advertisement

Resected Area During Transcanal Endoscopic Ear Surgery for Cholesteatomas with an Antral Extension

  • Suetaka NishiikeEmail author
  • Takao Imai
  • Kazuo Oshima
  • Satoru Uetsuka
Chapter
  • 179 Downloads

Abstract

Recent advances in transcanal endoscopic ear surgery (TEES) have made it possible to endoscopically remove most cholesteatomas even if they extend into the mastoid cavity. We examine and remove such cholesteatomas by resecting the scutum and posterior bone of the external auditory canal (EAC) and performing an endoscopic hydro-mastoidectomy. The area of the EAC that is resected for cholesteatomas during TEES is much smaller than the area of the EAC that is resected during microscopic ear surgery. Thus, TEES is minimally invasive and is beneficial for patients with a cholesteatoma.

Keywords

Transcanal endoscopic ear surgery Cholesteatoma Mastoid Hydro-mastoidectomy Underwater Minimally invasive 

References

  1. 1.
    Migirov L, Shapira Y, Horowitz Z, Wolf M. Exclusive endoscopic ear surgery for acquired cholesteatoma: preliminary results. Otol Neurotol. 2011;32(3):433–6.  https://doi.org/10.1097/MAO.0b013e3182096b39.CrossRefPubMedGoogle Scholar
  2. 2.
    Kakehata S, Watanabe T, Ito T, et al. Extension of indications for transcanal endoscopic ear surgery using an ultrasonic bone curette for cholesteatomas. Otol Neurotol. 2014;35(1):101–7.  https://doi.org/10.1097/MAO.0b013e3182a446bc.CrossRefPubMedGoogle Scholar
  3. 3.
    Tarabichi M. Endoscopic management of acquired cholesteatoma. Am J Otol. 1997;18(5):544–9.PubMedGoogle Scholar
  4. 4.
    Imai T, Nishiike S, Oshima K, et al. The resected area of the posterior wall of the external auditory canal during transcanal endoscopic ear surgery for cholesteatoma. Auris Nasus Larynx. 2017;44(2):141–6.  https://doi.org/10.1016/j.anl.2016.06.003.CrossRefPubMedGoogle Scholar
  5. 5.
    Migirov L, Yakirevitch A, Wolf M. The utility of minimally invasive transcanal endoscopic approach for removal of residual/recurrent cholesteatoma: preliminary results. Eur Arch Otorhinolaryngol. 2015;272(11):3241–6.  https://doi.org/10.1007/s00405-014-3402-y.CrossRefPubMedGoogle Scholar
  6. 6.
    Tarabichi M. Endoscopic transcanal middle ear surgery. Indian J Otolaryngol Head Neck Surg. 2010;62(1):6–24.  https://doi.org/10.1007/s12070-010-0007-7.CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Yamauchi D, Yamazaki M, Ohta J, et al. Closure technique for labyrinthine fistula by “underwater” endoscopic ear surgery. Laryngoscope. 2014;124(11):2616–8.  https://doi.org/10.1002/lary.24785.CrossRefPubMedGoogle Scholar
  8. 8.
    Tarabichi M. Transcanal endoscopic management of cholesteatoma. Otol Neurotol. 2010;31(4):580–8.  https://doi.org/10.1097/MAO.0b013e3181db72f8.CrossRefPubMedGoogle Scholar
  9. 9.
    Dedmon MM, Kozin ED, Lee DJ. Development of a temporal bone model for transcanal endoscopic ear surgery. Otolaryngology. 2015;153(4):613–5.  https://doi.org/10.1177/0194599815593738.CrossRefGoogle Scholar
  10. 10.
    Kozin ED, Gulati S, Kaplan AB, et al. Systematic review of outcomes following observational and operative endoscopic middle ear surgery. Laryngoscope. 2015;125(5):1205–14.  https://doi.org/10.1002/lary.25048.CrossRefPubMedGoogle Scholar
  11. 11.
    Marchioni D, Grammatica A, Genovese E, Guarnaccia MC, Villari D, Presutti L. Endoscopic approaches to middle ear cholesteatoma: classification and indications for surgery. In: Presutti L, Marchioni D, editors. Endoscopic ear surgery: principles, indications, and techniques. Stuttgart: Thieme; 2014. p. 131–50.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Suetaka Nishiike
    • 1
    Email author
  • Takao Imai
    • 1
  • Kazuo Oshima
    • 1
  • Satoru Uetsuka
    • 1
  1. 1.Department of Otorhinolaryngology - Head and Neck SurgeryOsaka Rosai HospitalOsakaJapan

Personalised recommendations