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The use of rigid endoscopes in cholesteatoma surgery

Published online by Cambridge University Press:  29 June 2007

Matthew Man Wah Yung
Matthew Man Wah Yung*
Affiliation:
Department of Otolaryngology, The Ipswich Hospital, Heath Road, Ipswich, Suffolk.
*
M. W. Yung, Ph.D., F.R.C.S., D.L.O., ENT Department, The Ipswich Hospital, Heath Road Wing, Ipswich, Suffolk IP4 5PD.
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Abstract

The existence of blind pockets in the middle ear during cholesteatoma surgery could compromise complete removal of the disease, e.g. from the sinus tympanum. The use of side-viewing rigid endoscopes in conjunction with the operating microscope to control and facilitate cholesteatoma removal during mastoid operation studied.

Ninety-two primary operations for cholesteatoma over a four-year period were examined. Over one-third (35.9 per cent) of these cases had cholesteatoma extended into the sinus tympanum. Sixty-four operations were small cavity mastoidectomy. The others were either canal wall reconstruction or primary obliteration following open cavity mastoidectomy.

Although residual cholesteatoma was found in three patients, only one was in the middle ear. It is concluded from this study that side-viewing endoscopes could be very useful in cholesteatoma surgery.

Keywords

EndoscopyCholesteatomaMastoidsurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 4 , April 1994 , pp. 307 - 309
Copyright
Copyright © JLO (1984) Limited 1994

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References

Buckingham, R. A. (1982) The clinical appearance and natural history of cholesteatoma. In Cholesteatoma and Mastoid Surgery, Proceedings of the Second International Conference,Kugler Publications,Amsterdam, pp 13–21.Google Scholar
Gonzalez, C, Bluestone, C. D. (1986) Visualization of a retraction pocket/cholesteatoma: indications for use of the middle ear telescope in children. Laryngoscope 96: 109–110.CrossRefGoogle ScholarPubMed
Mercke, U. (1985) The cholesteatomatous ear one year after intact canal wall mastoidectomy. Ada Oto-hino-Laryngologica (Belgica) 39: 230–233.Google Scholar
Michel, J., Chastang, R. (1975) Tympanoscopie ou endoscopie de l'oreille moyenne. Revue de Laryngologie, Otologie, Rhinologie 96(11–12): 721–723.Google Scholar
Nomura, Y. (1982) A needle otoscope. Ada Otolaryngolica (Stockholm) 93: 73–79.CrossRefGoogle ScholarPubMed
Smyth, G. D., Brooker, D. S. (1992) Small cavity mastoidectomy. Clinical Otolaryngology 17(3): 280–283.CrossRefGoogle ScholarPubMed
Thomassin, J. M., Duchon-Doris, J. M., Emram, B., Rud, C, Conciatori, J., Vilcoq, P. (1990) Otochirugie Endoscopique. Annales D'Oto-laryngologie et de Chirugie Cervico-Faciale (Paris) 107: 564–570.Google Scholar
Zini, C. (1967) La microtympanoscopic indirecte. Revue de Laryngologie, Otologie, Rhinologie 88(9): 736–738.Google Scholar