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An endoscopic hydro-mastoidectomy technique for cholesteatoma surgery

Published online by Cambridge University Press:  25 May 2022

S Nishiike Open the ORCID record for S Nishiike [Opens in a new window] ,
T Imai ,
S Uetsuka ,
T Michiba ,
N Ashida ,
Y Otami ,
K Tsujimura ,
T Sudo  and
M Saito
S Nishiike*
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
T Imai
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka University Graduate School of Medicine, Suita, Japan
S Uetsuka
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
T Michiba
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
N Ashida
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
Y Otami
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
K Tsujimura
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
T Sudo
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
M Saito
Affiliation:
Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, Sakai, Japan
*
Author for correspondence: Dr Suetaka Nishiike, Department of Otorhinolaryngology – Head and Neck Surgery, Osaka Rosai Hospital, 1179-3 Nagasonecho, Kita-ku, Sakai, Osaka 591-8025, Japan E-mail: [email protected]
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Abstract

Objective

Endoscopic hydro-mastoidectomy, in which mastoidectomy is performed underwater, can be employed during transcanal endoscopic ear surgery for cholesteatoma removal. It was hypothesised that endoscopic hydro-mastoidectomy might take less time than endoscopic non-underwater mastoidectomy because the endoscope does not need to be removed for cleaning.

Methods

This study compared the mastoidectomy and total operative durations between the endoscopic hydro-mastoidectomy (n = 25) and endoscopic non-underwater drilling (control, n = 8) groups. Moreover, it compared the size of resected areas of the external auditory canal between the two groups.

Results

The mastoidectomy time of the endoscopic hydro-mastoidectomy group was significantly shorter than that of the control group (p < 0.01). The total operative time did not differ significantly between the endoscopic hydro-mastoidectomy and control groups (p = 0.17). The resected area was significantly larger in the endoscopic hydro-mastoidectomy group than in the control group (p < 0.05).

Conclusion

Endoscopic hydro-mastoidectomy enables more extensive bone resection within a shorter period.

Keywords

Ear, MiddleCholesteatomaMastoidSurgical Procedures, Operative
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 5 , May 2023 , pp. 496 - 500
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr S Nishiike takes responsibility for the integrity of the content of the paper

Presented orally at the Japan Otological Society Annual Meeting, 10–12 October 2019, Yamagata, Japan.

References

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