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Updated: Oct 7, 2025
Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Experience with three-dimensional exoscope-assisted surgery of giant mastoid process osteoma
J Remacha1, M Navarro-Díaz1, F Larrosa1,2
1Department of Otorhinolaryngology - Head and Neck Surgery, Hospital Clinic de Barcelona, Barcelona, Spain.
Background:
The excision of a giant mastoid process osteoma can be challenging. In such situations, the three-dimensional exoscope intra-operative optic may be a promising tool.
Case Report:
This paper provides a technical description of a giant mastoid osteoma excised under three-dimensional exoscope magnification. A fragmented excision by intralesional curettage was adopted to prevent peri-tumoural damage. This technique had been previously described for the excision of large osteomas of the sinus.
Conclusion:
The three-dimensional exoscope magnification tool had excellent applicability during surgery of a rare mastoid osteoma. In complex anatomical areas, the cavitation and fragmented excision of the tumour may prevent complications and is therefore recommended.
