Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-23T06:06:30.203Z Has data issue: false hasContentIssue false
  • English
  • Français

Preliminary outcomes of endoscopic middle-ear surgery in 103 cases: a UK experience

Published online by Cambridge University Press:  18 July 2018

C P Yiannakis ,
R Sproat  and
A Iyer
C P Yiannakis*
Affiliation:
Department of Otolaryngology, University Hospital Monklands, NHS Lanarkshire, Airdrie, Scotland, UK
R Sproat
Affiliation:
Department of Otolaryngology, University Hospital Monklands, NHS Lanarkshire, Airdrie, Scotland, UK
A Iyer
Affiliation:
Department of Otolaryngology, University Hospital Monklands, NHS Lanarkshire, Airdrie, Scotland, UK
*
Address for correspondence: Dr Constantina Yiannakis, Department of Otolaryngology, Queen Elizabeth University Hospital, 1345 Govan Rd, Govan, Glasgow G51 4TF, Scotland, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Totally endoscopic ear surgery and endoscope-assisted microsurgery are still new concepts, with relatively few centres in the UK performing them. Advantages include better visualisation of difficult to reach areas, such as the sinus tympani, and limited external incisions. This paper reports our short-term outcomes for endoscopic middle-ear surgery.

Methods

A prospective review was conducted of the first 103 consecutive patients undergoing totally endoscopic ear surgery or endoscope-assisted microsurgery in 1 centre performed by 1 operator. The outcomes assessed were: tympanic membrane healing, audiological data and complications.

Results

Twenty-five patients underwent endoscope-assisted microsurgery, while 78 had totally endoscopic ear surgery. There were no reported cases of dead ear or permanent facial nerve palsy. The average air–bone gap following stapedectomy was 7.38 dB. The tympanic membrane healing rate was 89 per cent.

Conclusion

Our results confirm that endoscopic middle-ear surgery is safe, and the short-term outcomes are comparable with conventional surgery.

Keywords

Endoscopic Surgical ProcedureMiddle EarPostoperative ComplicationsAudiometry
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 6 , June 2018 , pp. 493 - 496
Copyright
Copyright © JLO (1984) Limited, 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr C P Yiannakis takes responsibility for the integrity of the content of the paper

Presented at The Royal Society of Medicine Otology Section meeting, 6 May 2016, London, and at ‘CHOLE2016’ – The International Conference on Cholesteatoma and Middle Ear Surgery, 5–8 June 2016, Edinburgh, Scotland, UK.

References

1Mer, S, Derbyshire, J, Brushenko, A, Pontarelli, D. Fiberoptic endoscopes for examining the middle ear. Arch Otolaryngol 1967;85:61–7Google Scholar
2Nomura, Y. Effective photography in otolaryngology-head and neck surgery: endoscopic photography of the middle ear. Otolaryngol Head Neck Surg 1982;90:395–8CrossRefGoogle ScholarPubMed
3Yung, M. The use of rigid endoscopes in cholesteatoma surgery. J Laryngol Otol 1994;108:307–9Google Scholar
4Haberkamp, T, Tanyer, H. Surgical techniques to facilitate endoscopic second-look mastoidectomy. Laryngoscope 1999;109:1023–7CrossRefGoogle ScholarPubMed
5Tarabichi, M, Ayache, S, Nogueira, JF, Al Qahtani, M, Pothier, DD. Endoscopic management of chronic otitis media and tympanoplasty. Otolaryngol Clin North Am 2013;46:155–63Google Scholar
6Tarabichi, M. Transcanal endoscopic management of cholesteatoma. Otol Neurotol 2010;31:580–8Google Scholar
7Kozin, ED, Lehmann, A, Carter, M, Hight, E, Cohen, M, Nakajima, HH et al. Thermal effects of endoscopy in a human temporal bone model: implications for endoscopic ear surgery. Laryngoscope 2014;124:e332–9Google Scholar
8Common Otology Audit. In: https://www.ear-audit.net/ [30 March 2018]Google Scholar
9Sproat, R, Yiannakis, CP, Iyer, A. Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 2017;38:662–6CrossRefGoogle ScholarPubMed
10Migirov, L, Wolf, M. Endoscopic transcanal stapedotomy: how I do it. Eur Arch Otorhinolaryngol 2013;270:1547–9Google Scholar