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Minimal Invasive Endoscopic Ear Surgery: A Two Handed Technique
Sapna Ramkrishna Parab1, Mubarak Muhamed Khan2
1Department of Otorhinolaryngology, M.I.M.E.R. Medical College, Pune, 410507 India.
Summary
The Justtah endoscope holder facilitates a two-handed technique in endoscopic ear surgery, achieving high success rates for tympanoplasty and cholesteatoma procedures.
Area of Science:
- Otolaryngology
- Surgical Technology
- Minimally Invasive Surgery
Background:
- Endoscopic ear surgery offers advantages but requires specialized instrumentation.
- The two-handed technique enhances surgical maneuverability and precision.
- Endoscope holders aim to stabilize the endoscope, freeing the surgeon's hands.
Purpose of the Study:
- To evaluate the surgical outcomes of endoscopic ear surgery using a two-handed technique with the Justtah endoscope holder.
- To assess the feasibility and efficacy of the Justtah endoscope holder in various endoscopic ear procedures.
Main Methods:
- Retrospective non-randomized clinical study involving 547 endoscopic ear surgeries (331 tympanoplasties, 216 cholesteatoma surgeries) from July 2013 to April 2016.
- Utilized the Justtah endoscope holder for all procedures.
- Follow-up ranged from 12 to 45 months.
Main Results:
- Endoscopic tympanoplasty demonstrated high graft uptake rates: 97.58% at 1 year and 97.28% at 2 years.
- Endoscopic cholesteatoma surgery showed low rates of residual or recurrent disease (11 out of 216 cases).
Conclusions:
- The Justtah endoscope holder is feasible and effective for the two-handed technique in endoscopic ear surgery.
- This instrumentation supports successful outcomes in both tympanoplasty and cholesteatoma surgery.
- The study highlights the successful application of this specialized tool in otologic procedures.
