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Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
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Endoscopic approach in second stage ossicular chain reconstruction.
Giannicola Iannella1, Marco De Vincentiis2, Antonio Greco2
1Department of 'Organi di Senso', University "Sapienza", Rome, Italy; Department of Head-Neck Surgery, Otolaryngology, Head-Neck and Oral Surgery Unit, Morgagni Pierantoni Hospital, Forlì, Italy.
American Journal of Otolaryngology
|July 13, 2019
Summary
This study evaluates endoscopic ossicular chain reconstruction, demonstrating significant hearing improvements with various materials like PORP, TORP, incus interposition, and cartilage. Endoscopic ossiculoplasty is a viable alternative to microscopic surgery.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Audiology
Background:
- Limited studies exist on surgical and hearing outcomes of totally endoscopic ossicular chain reconstruction.
- Endoscopic techniques offer potential advantages in ossiculoplasty procedures.
Purpose of the Study:
- To present the diverse materials and endoscopic techniques used for second-stage endoscopic ossiculoplasty.
- To evaluate the surgical and hearing outcomes of these endoscopic reconstructions.
Main Methods:
- A cohort of patients undergoing second-stage endoscopic ossiculoplasty was studied.
- Reconstruction methods included PORP (13), TORP (11), incus interposition (6), and cartilage (10) ossiculoplasty.
- Intraoperative and postoperative complications were analyzed, with hearing recovery assessed at 6 months.
Main Results:
- No intraoperative complications were reported.
- Postoperative tympanic membrane complications occurred in 5% of cases, including one instance of perforation and prosthesis extrusion.
- Significant improvements were observed in air-conduction pure-tone average (AC-PTA), air-bone gap (ABG), and word recognition score (WRS) (p < 0.05).
Conclusions:
- Various materials and methods are effective for endoscopic ossicular chain reconstruction, yielding optimal clinical and audiological results.
- Endoscopic surgery presents a valid alternative to traditional microscopic approaches for ossiculoplasty.
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