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Updated: Nov 21, 2025

The Microscopic Transcanal Approach in Stapes Surgery Revisited
Published on: February 16, 2022
Transcanal endoscopic approach for pars flaccida cholesteatoma using a 70-degree angled endoscope
Masahiro Takahashi1, Yutaka Yamamoto2, Hiromi Kojima2
1Department of Otorhinolaryngology, Jikei University School of Medicine, 3-25-8, Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan. takahashima@jikei.ac.jp.
Background:
30° and 45° endoscopes are commonly used, but there are few reports about the use of 70° endoscopes for ear surgery.
Methods:
The use of 70° endoscopes made it possible to resect cholesteatomas without removing extensive regions of the external ear canal, which facilitated reconstruction, as the areas that needed to be reconstructed were smaller.
Conclusion:
None of the 34 patients who underwent this procedure for pars flaccida cholesteatoma suffered recurrence. Therefore, we consider that the procedure is useful. A further study of the postoperative outcomes of this procedure should be conducted.

