Application of the Endoscopy in the Middle Ear Surgery

Journal Title: Otolaryngologia Polska - Year 2012, Vol 66, Issue 3

Abstract

SUMMARY Endoscopy is used in the middle ear surgery for above twenty years when decrease of cholesteatoma recurrence due to employing endoscope was revealed in comparison to standard microscopic only visualisation. Endoscopy may be the only way of visualisation in transcanal myringoplasty for the retraction pocket, stapedoplasty and transcanal ossiculoplasty. In canal wali up or second look tympanoplasty with mastoidectomy and posterior tympanotomy endoscopy may serve as an additional point of view supported the classical microscopical technique. In result of many manners in surgical treatment of chronic otitis media, there are very concept for endoscopy application. In the ENT Department at Medical University of Warsaw were performed 53 procedures by aid of endoscopy in period from September 2009 to December 2010. In this study there were 18 canal wali up tympanoplasties, 12 second look tympanoplasties and 8 canal wali down tympanoplasties. According to authors' experience endoscopy is the most useful in: 1. verification of cholestatoma removal radicancy, 2. second look tympanoplasty via posterior tympanotomy, 3. inspection of the Eustachian tube orifice, 4. assessment of ossiculoplasty efficiency, 5. evaluation of myringoplasty. There were three cases of cholesteatoma recurrence in the study found only due to endoscope support. In authors' opinion, the endoscopy is the useful tool in surgical treatment of chronic otitis media. Application of endoscopy during the middle ear surgery results in decrease in frequency of cholestatoma recurrence and increase in the effectiveness of the ossiculoplasty.

Authors and Affiliations

Emilia Karchier, Krzysztof Morawski, Robert Bartoszewicz, Kazimierz Niemczyk

Keywords

Related Articles

Ocena zgodności progów słyszenia w badaniach potencjałów słuchowych stanu ustalonego (ASSR), audiometrii tonalnej i słuchowych potencjałów wywołanych pnia mózgu (ABR) u młodych osób z prawidłowym słuchem

Introduction. One of the basic audiological parameter in estimation of hearing sensitivity is hearing threshold. The need for an objective tool to effi ciently predict the audiogram caused that the use and importance of...

Popularyzacja idei fonochirurgicznych w codziennej pielęgnacji strun głosowych – co jeszcze można zrobić?

Tematyka poniższego przeglądu skupia się na zagadnieniach związanych z zabiegami w obrębie fałdów głosowych, akcentując praktykę fonochirurgiczną. Celem artykułu jest popularyzacja wiedzy z zakresu fonochirurgii, szerzen...

The double opposing myomucosal cheek flap in hard palate reconstruction

Ograniczone ubytki w obrębie jamy ustnej leczone z wykorzystaniem lokalnych uszypułowanych płatów z policzka, pozwalają zachować funkcję operowanego narządu. Większe ubytki zlokalizowane w  linii środkowej podniebienia t...

Application of simultaneous auditory evoked potentials and functional magnetic resonance recordings for examination of central auditory system — preliminary results

SUMMARY Introduction: Processing of auditory information in central nervous system bases on the series of quickly occurring neural processes that cannot be sepa-rately monitored using only the fMRI registration. Simultan...

Assessment of acoustic characteristics of voice in patients after injection laryngoplasty with hyaluronan

Background: Glottal incompetence is one of the most common contributing factors in patients who suffer from dysphonia. One of the different treatment approaches is injection laryngoplasty. The aim of the study was to ass...

Download PDF file
  • EP ID EP52023
  • DOI -
  • Views 30
  • Downloads 0

How To Cite

Emilia Karchier, Krzysztof Morawski, Robert Bartoszewicz, Kazimierz Niemczyk (2012). Application of the Endoscopy in the Middle Ear Surgery. Otolaryngologia Polska, 66(3), -191. https://europub.co.uk/articles/-A-52023