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Updated: Jun 10, 2025

Endoscopic Cholesteatoma Surgery
Published on: January 19, 2022
Techniques in Management of Cholesteatoma: Endoscopic Approaches
Adrian Lewis James1, Manuela Fina2
1Department of Otolaryngology-Head & Neck Surgery, University of Toronto, Toronto, Canada; Hospital for Sick Children, 555 University Avenue, Toronto M5G 1X8, Canada.
Abstract:
Outcomes from cholesteatoma surgery are improved by using endoscopes to guide dissection as the wide-angled view facilitates more complete removal of cholesteatoma matrix, reducing the risk of residual disease. Furthermore, surgery can often be completed transcanal, reducing postoperative morbidity. The decision to complete cholesteatoma removal endoscopically transcanal is made from a combination of preoperative imaging and intraoperative findings. A one-handed approach to operating is required as the other hand is used to optimize endoscope positioning. Aspects of technique and instrumentation particular to endoscopic cholesteatoma surgery are presented.
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