Outcomes of transcanal endoscopic middle ear surgery for congenital cholesteatoma

被引:1
|
作者
Guo, Lianrong [1 ]
Su, Yongjin [1 ]
Cai, Zhi [1 ]
Yang, Yuanyuan [1 ]
机构
[1] Peking Univ, Shenzhen Hosp, Dept Otolaryngol, 1120 LianHua Rd, Shenzhen 518036, Guangdong, Peoples R China
关键词
Congenital cholesteatoma; transcanal endoscopic surgery; hearing reconstruction; CARTILAGE SHOE TECHNIQUE; STAPES FOOTPLATE; PROSTHESIS;
D O I
10.1080/00016489.2023.2176544
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
BackgroundTranscanal endoscopic surgery offers advantages for congenital cholesteatoma (CC) which is expanding cystic mass located on an intact tympanic membrane.ObjectivesTo determine the efficacy of transcanal endoscopic ear surgery for the treatment of CC.Material and methodsEleven patients with CC confined to the middle ear underwent transcanal endoscopic ear surgery by surgeons who were skilled in otoscopic surgery. According to the Potsic classification, four, three, and four patients had lesions in stages 1, 2, and 3, respectively. The mean follow-up duration was 24.5 months. We retrospectively analyzed the recurrence rate, complications, and average hearing thresholds of the patients with CC.ResultsAll CCs were successfully resected via the transcanal endoscopic approach, without any immediate or serious complications. The only complication was external auditory canal stenosis due to postoperative scarring, which occurred in a patient with a stage-3 cholesteatoma that recurred and required reoperation and second-stage ossicular chain reconstruction. Two more patients underwent one-stage ossicular chain reconstruction. All three patients received a total artificial ossicular replacement prosthesis, and two of them also received cartilage grafts.Conclusions and significanceTranscanal endoscopic ear surgery is an effective method to treat CC belonging to Potsic stages 3 or below.
引用
收藏
页码:141 / 146
页数:6
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