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

  • C P Yiannakis (a1), R Sproat (a1) and A Iyer (a1)
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.

Copyright
Corresponding author
Address for correspondence: Dr Constantina Yiannakis, Department of Otolaryngology, Queen Elizabeth University Hospital, 1345 Govan Rd, Govan, Glasgow G51 4TF, Scotland, UK E-mail: c.p.yiannakis@doctors.org.uk
Footnotes
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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.

Footnotes
References
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1Mer, S, Derbyshire, J, Brushenko, A, Pontarelli, D. Fiberoptic endoscopes for examining the middle ear. Arch Otolaryngol 1967;85:61–7
2Nomura, Y. Effective photography in otolaryngology-head and neck surgery: endoscopic photography of the middle ear. Otolaryngol Head Neck Surg 1982;90:395–8
3Yung, M. The use of rigid endoscopes in cholesteatoma surgery. J Laryngol Otol 1994;108:307–9
4Haberkamp, T, Tanyer, H. Surgical techniques to facilitate endoscopic second-look mastoidectomy. Laryngoscope 1999;109:1023–7
5Tarabichi, M, Ayache, S, Nogueira, JF, Al Qahtani, M, Pothier, DD. Endoscopic management of chronic otitis media and tympanoplasty. Otolaryngol Clin North Am 2013;46:155–63
6Tarabichi, M. Transcanal endoscopic management of cholesteatoma. Otol Neurotol 2010;31:580–8
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:e3329
8Common Otology Audit. In: https://www.ear-audit.net/ [30 March 2018]
9Sproat, R, Yiannakis, CP, Iyer, A. Endoscopic stapes surgery: a comparison with microscopic surgery. Otol Neurotol 2017;38:662–6
10Migirov, L, Wolf, M. Endoscopic transcanal stapedotomy: how I do it. Eur Arch Otorhinolaryngol 2013;270:1547–9
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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