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Article Synopsis
- - The study focused on the surgical management of rare benign tumors known as facial nerve schwannomas (FNSs) by analyzing clinical outcomes from patients who had these tumors excised.
- - Seventeen patients (10 men and 7 women) underwent surgery, with facial nerve dysfunction being the most common symptom; all cases achieved total tumor removal and showed no significant postoperative complications.
- - The research highlights the effectiveness of different surgical approaches, including traditional methods and an innovative endoscopic approach, and confirms the absence of tumor recurrence during a follow-up period averaging over 16 years.
Objectives: The exclusive endoscopic transcanal transpromontorial approach (EETTA) has recently been developed for the removal of small-sized acoustic neuromas in the labyrinth (intralabyrinthine schwannoma [ILS]) or internal auditory canal (IAC). Although small tumors that meet the indications for EETTA are also good candidates for cochlear implantation (CI), there are few reports on CI after schwannoma removal using EETTA. Here we present an outcome of patients who underwent simultaneous EETTA and CI.
View Article and Find Full Text PDFEfficacy of Otoendoscopy for Residual Cholesteatoma Detection During Microscopic Chronic Ear Surgery.
J Int Adv Otol
May 2024
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals of Leuven, Leuven, Belgium.
The aim of this article is to determine the efficacy of otoendoscopy during microscopic cholesteatoma surgery on residual cholesteatoma rates postoperatively. The medical records of patients (aged 4-90) with primary acquired cholesteatoma who underwent microscopic cholesteatoma surgery (exclusively transcanal approach or canal wall-up tympano-mastoidectomy) with subsequent otoendoscopic examination (80 ears) for intraoperative cholesteatoma residues were retrospectively reviewed. All cases with mixed microscopic/endoscopic, fully endoscopic, or fully microscopic dissection were excluded, as well as cases where a canal wall-down technique was used.
View Article and Find Full Text PDFEndoscopic ear surgery in the treatment of chronic otitis media with atelectasis.
Eur Arch Otorhinolaryngol
December 2024
Department of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00183, Rome, Italy.
Purpose: Atelectasis otitis media (AtOM) is a chronic condition where the tympanic membrane (TM) becomes retracted towards the middle ear and the ossicular chain. Surgical treatment for this condition could be indicated based on stage of atelectasis, patient's clinical condition and hearing loss. Over the years, AtOM has been treated with various types of tympanoplasty under microscopic view.
View Article and Find Full Text PDFExclusive endoscopic management of incus long process major defects: conventional incus interposition versus malleostapediopexy.
Eur Arch Otorhinolaryngol
August 2024
, Gaziantep, Turkey.
Article Synopsis
- The study compares surgical and hearing results of two techniques—incus interposition (IP) and malleostapediopexy (MS)—for repairing large defects in the incus bone of the ear.
- A total of 71 patients were involved, with significant improvements in hearing observed in the MS group, showing an average auditory gain of 18.3 dB compared to 14.7 dB in the IP group.
- The MS technique also had a higher success rate in achieving a postoperative air-bone gap of less than 20 dB at 88.2%, while the IP group had a 70.3% success rate, suggesting MS is a more effective option for these
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