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
- EP ID EP52023
- DOI -
- Views 112
- Downloads 0
The evaluation of the efficiency of kinesitherapy in the patients with mixed-type vertigo
Introduction: The aim of this work was to evaluate the efficiency of kinesitherapy in the patients with mixed-type vertigo. Material and methods: The study was conducted on a randomized group of 35 patients, 21 women and...
Rekonstrukcje ubytków nosa po operacjach onkologicznych w materiale Kliniki Otolaryngologii Warszawskiego Uniwersytetu Medycznego w latach 1998-2007
Introduction: Skin cancer (basal cell carcinoma, squamous cell carcinoma) and melanoma are the most frequent malignancy appearing in a human begin. The treatment of choice is surgical excision of tumor with margins of he...
Wznowy u pacjentów leczonych operacyjnie z powodu raka krtani
Purpose: The aim of the present study was to investigate the recurrence prevalence in patients with laryngeal squamous cell carcinoma (LSCC) underwent surgery as primary treatment. Material: The assessed group consisted...
Primary head and neck malignant melanomas in the data of ENT Department of Silesian Medical University: histo-clinical analysis
SUMMARY Introduction: In 2008 in Poland, there were over 2,200 cases of malignant melanomas. This tumor is characterized by considerable malice. Malignant melanoma of the head and neck region is a vast concept. Therefore...
The unusual location of the foreign body of the hypopharynx – case report
The foreign bodies ingestion are common among the patients admitting to the ENT Emergency Unit. Usually the treatment does not cause too much trouble, however, the symptoms and possible complications might be potentially...