Hostname: page-component-6766d58669-bp2c4 Total loading time: 0 Render date: 2026-05-19T15:11:28.872Z Has data issue: false hasContentIssue false
  • English
  • Français

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: snishiike@osakah.johas.go.jp
Get access Rights & Permissions [Opens in a new window]

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

Information

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

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.)

Article purchase

Temporarily unavailable

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

Tarabichi, M. Endoscopic management of acquired cholesteatoma. Am J Otol 1997;18:544–9Google ScholarPubMed
Kakehata, S, Watanabe, T, Ito, T, Kubota, T, Furukawa, T. Extension of indications for transcanal endoscopic ear surgery using an ultrasonic bone curette for cholesteatomas. Otol Neurotol 2014;35:101–17CrossRefGoogle ScholarPubMed
Imai, T, Nishiike, S, Oshima, K, Tanaka, H, Tsuruta, Y, Tomiyama, Y. The resected area of the posterior wall of the external auditory canal during transcanal endoscopic ear surgery for cholesteatoma. Auris Nasus Larynx 2017;44:141–6CrossRefGoogle ScholarPubMed
Nishiike, S, Oshima, K, Imai, T, Uetsuka, S. A novel endoscopic hydro-mastoidectomy technique for transcanal endoscopic ear surgery. J Laryngol Otol 2019;133:248–50CrossRefGoogle ScholarPubMed
Givi, B, Schiff, BA, Chinn, SB, Clayburgh, D, Iyer, NG, Jalisi, S et al. Safety recommendations for evaluation and surgery of the head and neck during the COVID-19 pandemic. JAMA Otolaryngol Head Neck Surg 2020;146:579–84CrossRefGoogle ScholarPubMed
Thamboo, A, Lea, J, Sommer, DD, Sowerby, L, Abdalkhani, A, Diamond, C et al. Clinical evidence based review and recommendations of aerosol generating medical procedures in otolaryngology - head and neck surgery during the COVID-19 pandemic. J Otolaryngol Head Neck Surg 2020;49:28Google ScholarPubMed
Chen, JX, Workman, AD, Chari, DA, Jung, DH, Kozin, ED, Lee, DJ et al. Demonstration and mitigation of aerosol and particle dispersion during mastoidectomy relevant to the COVID-19 era. Otol Neurotol 2020;41:1230–9CrossRefGoogle Scholar
Mick, P, Murphy, R. Aerosol-generating otolaryngology procedures and the need for enhanced PPE during the COVID-19 pandemic: a literature review. J Otolaryngol Head Neck Surg 2020;49:29CrossRefGoogle ScholarPubMed