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Endoscopic ear surgery: A case series and first United Kingdom experience
Hala Kanona1, Jagdeep Singh Virk1, Anthony Owa1
1Hala Kanona, Jagdeep Singh Virk, Anthony Owa, ENT Department, Queen's Hospital, RM7 0AG Romford, United Kingdom.
Aim:
To present the United Kingdom's first case series of 70 otological cases of endoscopic and non-endoscopic ear surgeries.
Methods:
Prospective case series incorporating a range of endoscopic procedures performed using a 4 mm, 18 cm rigid endoscope, performed by a single surgeon at a single centre. Primary outcome measures included mean average pre and post-operative air-bone gap hearing thresholds and duration of surgery.
Results:
Thirty-eight patients underwent endoscopic assisted ear surgery and 32 underwent non-endoscopic assisted ear surgery. In both surgical groups, there was a significant difference between pre and post-operative mean air-bone gaps (P = 0.02). Mean operating time was comparable between both groups. Eight patients developed post-operative complications.
Conclusion:
Endoscopic ear surgery can be performed safely in a range of otological procedures. This has the potential to become a well-established surgical option for middle ear surgery in the near future. Advantages and limitations are discussed.
