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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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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
PubMed
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.

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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.