Related Experiment Video
Updated: Nov 28, 2025
Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
[Application of endoscopic functional surgery concept on middle ear surgery]
Fangyuan Wang1, Hongmin Wang2, Shiming Yang1
1College of Otolaryngology Head and Neck Surgery，the First Medical Center of Chinese PLA General Hospital，National Clinical Research Center for Otolaryngologic Diseases，Key Lab of Hearing Science，Ministry of Education，Beijing Key Lab of Hearing Impairment for Prevention and Treatment，Beijing，100853，China.
Endoscopic middle ear surgery effectively addresses ventilation issues, including Eustachian tube problems and epitympanum-mesotympanum ventilation, by reconstructing ventilation cavities. This minimally invasive approach preserves ear function while removing lesions.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Medical Technology
Background:
- Middle ear ventilation is crucial for normal ear function.
- Endoscopic techniques are increasingly utilized in ear surgery.
- Challenges in middle ear ventilation require effective surgical solutions.
Purpose of the Study:
- To summarize the experience with establishing middle ear ventilation during endoscopic ear surgery.
- To analyze the methods used for reconstructing middle ear ventilation.
- To evaluate the efficacy of endoscopic approaches in addressing ventilation deficits.
Main Methods:
- Retrospective analysis of patients undergoing endoscopic middle ear surgery from 2016-2018.
- Documentation of techniques used for middle ear ventilation reconstruction.
- Data collection on patient demographics and specific ventilation-related issues.
Main Results:
- 300 ears from 296 patients were analyzed.
- Eustachian tube problems were noted in 46 patients.
- Ventilation issues between the epitympanum and mesotympanum affected 241 patients.
- 185 patients required ventilation cavity reconstruction.
Conclusions:
- Endoscopic middle ear surgery allows accurate lesion removal with minimal invasion.
- It enables the preservation or reconstruction of middle ear function.
- Advancements in endoscopic technology and otologist understanding enhance surgical outcomes.
