Related Experiment Video
Updated: Mar 5, 2026
08:47
Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
13.7K
Transcanal Endoscopic Ear Surgery for Middle Ear Cholesteatoma.
Eran Glikson1, Ruth Yousovich, Jobran Mansour
1*Department of Otolaryngology, Head and Neck Surgery, Sheba Medical Center, Tel-Hashomer †Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Summary
Transcanal endoscopic ear surgery is a safe and effective method for removing middle ear cholesteatoma. This technique demonstrates low recurrence and complication rates, making it a viable option for patients.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
Background:
- Middle ear cholesteatoma is a common condition requiring surgical intervention.
- Traditional surgical approaches may involve postauricular incisions and mastoidectomy.
- Endoscopic techniques offer potential advantages in visualization and access.
Purpose of the Study:
- To evaluate the clinical parameters, outcomes, and complications of transcanal endoscopic ear surgeries (TEES) for middle ear cholesteatoma.
- To assess the efficacy and safety of TEES in cholesteatoma eradication.
Main Methods:
- Retrospective study of adult patients undergoing TEES for cholesteatoma between March 2009 and March 2015.
- TEES was indicated for cholesteatoma not extending posterior to the anterior limb of the lateral semicircular canal.
- Preoperative imaging (CT/MRI) and audiometry were used; residual/recurrent disease diagnosed via clinical exam and/or MRI.
Main Results:
- Sixty operations in 56 patients were analyzed, with a mean age of 43.6 years.
- Common cholesteatoma sites included posterior epitympanum (91%) and anterior epitympanum (33.9%).
- Overall residual and recurrence rates were 10% and 8.3%, respectively, with a mean follow-up of 35 months. Minor and major complication rates were 16.6% and 6%.
Conclusions:
- Transcanal endoscopic ear surgery is an acceptable and safe technique for middle ear and attic cholesteatoma.
- TEES provides adequate exposure and effective eradication of cholesteatoma.
- The procedure is associated with manageable complication rates and low recurrence.
