Endoscopic Tympanomastoid Surgery - Our Experience
Journal Title: Bengal Journal of Otolaryngology and Head Neck Surgery - Year 2014, Vol 22, Issue 2
Abstract
Introduction In last few decades medical science has seen resurgence of minimally invasive surgery by development of endoscopes with adequate illumination, magnification and image quality. Although operating microscope made a significant advance in ear surgery but it has a drawback of unobservable blind angles in cavities of middle ear. Objective To demonstrate the effectiveness otoendoscope along with operating microscope in tympanomastoid surgeries. Materials and methods In this prospective study conducted between January 2012 to January 2014, a total of 67 ears with chronic otitis media of mucosal and/or squamosal disease were operated. Twenty eight were operated using canal wall up (CWU) technique, 26 underwent canal wall down (CWD) surgery, 13 cases had tympanoplasty with endoscopic disease clearance .Intraoperative Otoendoscopic evaluation for disease clearance was done in all cases. Results Out of 28 CWU mastoidectomy, 21 cases had disease medial to incus & aditus, that was cleared completely with otoendoscopic assistance. Rest Seven cases had disease limited to attic & they underwent also had otoendoscopic disease clearance. Twenty six patients underwent CWD procedure with intraoperative otoendoscopic evaluation & clearance of residual disease. Thirteen cases undergoing tympanoplasty, which harboured disease in the middle ear also underwent cleared endoscopic clearance.We followed up all patients for at least 6 months and no recurrence has been detected. Conclusion Otoendoscope provides a panoramic view of middle ear cavity and endoscopic ear surgery preserves much of normal anatomy as possible by minimizing unnecessary dissection of bone & soft tissue. In addition there is more chances of ossicular preservation without jeopardizing disease clearance, hence it should be added to surgical armamentarium for better disease clearance and superior surgical outcome.
Authors and Affiliations
Sukamal Das
Keywords
Related Articles
- EP ID EP434061
- DOI -
- Views 47
- Downloads 0
Idiopathic sialectasia of Stensen’s duct treated by marsupialisation of ectatic segment
Introduction:Sialectasis of parotid duct is an uncommon condition characterised by abnormal dilatation of a part or whole of the Stensen's duct. It may lead to recurrent parotid infections as well as a cause of concern f...
Double nail in Hypopharynx- A rare presentation
IntroductionAn extremely rare case of a pair of nails impacted in the right pyriform sinus, presenting 72 hours after the incident, is reported.Case ReportX-ray soft tissue neck revealed the presence of a pair of nails i...
Tongue Entrapment in a Plastic Bottleneck
IntroductionOral foreign bodies and perioral injuries are common occurrence among paediatric population. These may range from benign occurrences to those that may threaten the airway. One such injury is tongue entrapment...
Aberrant Thyroid in the Parapharyngeal Space
Introduction Aberrant thyroid is a mass of tissue having the structure of a normal or pathological thyroid gland and situated at some definite distance from normal thyroid, with which it has no connection. The prevalance...
Rhinosporidiosis: Various Presentations and Different Sites
IntroductionRhinosporidiosis commonly affects nasal mucosa but may have varied presentations depending upon the site of involvement.Materials and Methods119 patients of rhinosporidiosis, attending the two medical college...