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Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
Published on: December 15, 2023
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Total Transcanal Endoscopic Ear Surgery for Cholesteatoma.
Abdullah Dalğıç1, Gökçe Aksoy Yıldırım1, Mehmet Ekrem Zorlu1
1Department of Otolaryngology and Head & Neck Surgery, İzmir Bozyaka Training and Research Hospital, University of Health Sciences Turkey, İzmir, Turkey.
Turkish Archives of Otorhinolaryngology
|August 16, 2023
Summary
Transcanal endoscopic ear surgery (TEES) for cholesteatoma is a safe, minimally invasive procedure with low recurrence rates. Increased surgeon experience may enable its use in more complex cases.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Endoscopic Surgery
Background:
- Cholesteatoma surgery traditionally involves open techniques.
- Transcanal endoscopic ear surgery (TEES) offers a minimally invasive alternative.
- Evaluating TEES outcomes is crucial for establishing its efficacy.
Purpose of the Study:
- To assess the outcomes of total transcanal endoscopic cholesteatoma surgery.
- To determine the safety and efficacy of TEES in cholesteatoma management.
Main Methods:
- Retrospective study of 27 cholesteatoma patients undergoing TEES.
- Data collected included patient demographics, surgical details, and staging (EAONO/JOS).
- Postoperative evaluation involved otoscopic, endoscopic, and audiological assessments with a minimum 5-month follow-up.
Main Results:
- The mean patient age was 36.4 years, with stages 1, 2, and 3 cholesteatoma observed.
- Complications included retraction pockets, hearing loss, and perforation in a small number of patients.
- No recurrence or residual cholesteatoma was noted; preoperative and postoperative air-bone gaps showed no significant difference.
Conclusions:
- TEES is a safe and effective minimally invasive procedure for cholesteatoma.
- Low complication and recurrence rates were observed in this cohort.
- Surgical experience is key to expanding TEES application to more complex cholesteatoma cases.

