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Endoscopic Transcanal Atticoplasty: How we do it?
B L Shrestha1, A K Kc1, S Karmacharya1
1Department of ENT-HNS, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.
Kathmandu University Medical Journal (KUMJ)
|August 29, 2024
Summary
Transcanal endoscopic atticoplasty offers a safe and reliable surgical option for attic retraction pockets and limited attic cholesteatoma. This technique provides a 360-degree view, improving diseased tissue removal compared to traditional microscopic methods.
Area of Science:
- Otolaryngology
- Minimally Invasive Surgery
- Endoscopic Ear Surgery
Background:
- Endoscopic otological surgery is transforming ear surgery practices.
- Microscopic surgery faces challenges in accessing anterior attic areas for limited cholesteatoma or retraction pockets (grades III-IV).
- Endoscopic approaches offer enhanced visualization for attic reconstruction.
Purpose of the Study:
- To evaluate the efficacy and safety of transcanal endoscopic atticoplasty.
- To assess the technique's utility for attic retraction pockets and limited attic cholesteatoma.
Main Methods:
- Atticoplasty was performed using rigid nasal endoscopes (Karl Storz, 4 mm diameter, 18 cm length).
- The study focused on patients with attic retraction pockets (grade III or IV) or limited attic cholesteatoma.
Main Results:
- Transcanal endoscopic atticoplasty demonstrated preliminary positive outcomes.
- The technique proved reliable and safe for the targeted conditions.
Conclusions:
- Transcanal endoscopic atticoplasty is a viable and safe surgical management option.
- The endoscopic approach facilitates complete removal of diseased tissue in the attic.
