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Postoperative Hearing Outcomes and Usefulness of Endoscopy-Assisted Tympanoplasty in Pars Tensa Cholesteatoma.
Int Arch Otorhinolaryngol
January 2025
Department of Otorhinolaryngology. Head and Neck Surgery, National Defense Medical College, Saitama, Japan.
In recent years, transcanal endoscopic ear surgery (TEES) has gained widespread recognition as an excellent surgical field for blind spots such as the sinus tympani (ST) when compared to microscopic ear surgery (MES). To investigate the postoperative hearing results for pars tensa cholesteatoma and the indications for utilizing endoscopy. The medical records of 16 patients (10 men and 6 women) with pars tensa cholesteatoma, who received initial surgical treatment between 2018 and 2022, were reviewed.
View Article and Find Full Text PDFExternal auditory canal cholesteatoma: staging and treatment strategies.
Front Neurol
December 2024
Ningde Clinical Medical College, Fujian Medical University, Ningde, China.
Objective: To investigate clinical staging systems and appropriate treatment strategies for external auditory canal cholesteatoma (EACC).
Methods: We performed comparative analysis of the features of several staging schemes (Holt, Naim, Shin, Chang, Kaneda, Hn, and He) of EACC; retrospective analysis of the clinical data of 44 patients with primary EACC, and analyzed the prognosis.
Results: He's staging system (2019) was found to be particularly clear and practical.
Conventional one-handed compared to two-handed endoscopic ear surgery using an endoscope holder: a single center study.
Eur Arch Otorhinolaryngol
October 2024
TU Dresden, Faculty of Medicine and University Hospital Carl Gustav Carus, Department of Otorhinolaryngology Head and Neck Surgery, Ear Research Center Dresden, Fetscherstraße 74, Dresden, 01307, Germany.
Introduction: One-handedness is a challenge in conventional endoscopic ear surgery (EES). We present results on the first-ever application of the passive endoscope holder 'Endofix exo' (Co. AKTORmed GmbH, Neutraubling, Germany) in EES, which enables two-handed surgery.
View Article and Find Full Text PDFDoes the ChOLE classification relate to the duration of surgery?
Eur Arch Otorhinolaryngol
October 2024
Medical Faculty, Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, 50924, Cologne, Germany.
Introduction: Cholesteatoma, a challenging entity in otologic surgery, necessitates a standardized classification system for effective communication among healthcare providers and consistent reporting of surgical outcomes. The ChOLE Classification System, introduced by Linder et al., stages cholesteatoma based on extension (Ch), ossicular chain status (O), life-threatening complications (L), and Eustachian tube function and mastoid pneumatization (E).
View Article and Find Full Text PDFComparison of Endoscopic and Microscopic Surgery for the Treatment of Acquired Cholesteatoma by EAONO/JOS Staging.
Healthcare (Basel)
August 2024
Department of Otorhinolaryngology, Tokyo Teishin Hospital, Tokyo 102-8798, Japan.
Cholesteatoma is a benign tumor of the middle ear. Tympanoplasty is performed to remove cholesteatoma, prevent recurrence, and avoid complications. Previously, microscopy was used for tympanoplasty; however, endoscopy has become increasingly popular for this procedure.
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