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Is endoscopic ear surgery an option to manage middle ear cholesteatoma?

Presenting Author: José Carlos Casqueiro

Published online by Cambridge University Press:  03 June 2016

José Carlos Casqueiro  and
Miguel Aristegui
José Carlos Casqueiro
Affiliation:
Hospital Universitario Severo Ochoa / Grupo Otologico Madrid
Miguel Aristegui
Affiliation:
Hospital Universitario Gregorio Marañon / Grupo Otologico Madrid
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Abstract

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Learning Objectives:

Introduction: In the last decades, the use of endoscopes in ear surgery for the removal of cholesteatoma has widespread significantly.

Objective: To describe a case series of transcanal endoscopic ear surgeries for cholesteatoma removal performed by our group. We evaluate the indications and outcomes of the endoscopic management of middle ear cholesteatoma. The characteristics, advantages, and disadvantages of this technique are also discussed.

Methods: A retrospective case series study, based on the review of patients submitted to transcanal endoscopic surgery in the period from January of 2011 to January of 2016.

Results: 23 patients with a minimum of 1-year follow-up (range 1 to 5-year follow-up) underwent endoscopic ear surgery for middle ear cholesteatoma in our group. Several kinds of cholesteatoma were included, most of them secondary acquired because of a chronic tympanic perforation. We also include some cases with primary acquired cholesteatoma with an intact ossicular chain. The outcomes were analyzed and the results were discussed.

Conclusion: We believe that transcanal endoscopic approach is a feasible, safe, and effective procedure in selected cases for limited cholesteatoma.