Karchier Emilia, Morawski Krzysztof, Bartoszewicz Robert, Niemczyk Kazimierz
Katedra i Klinika Otolaryngologii WUM, Banacha.
Otolaryngol Pol. 2012 May-Jun;66(3):191-5. doi: 10.1016/S0030-6657(12)70768-0.
Endoscopy is used in the middle ear surgery for above twenty years when decrease of cholesteatoma recurrence due to employing endoscope was revealed in comparison to standard microscopic only visualisation. Endoscopy may be the only way of visualisation in transcanal myringoplasty for the retraction pocket, stapedoplasty and transcanal ossiculoplasty. In canal wall up or second look tympanoplasty with mastoidectomy and posterior tympanotomy endoscopy may serve as an additional point of view supported the classical microscopical technique. In result of many manners in surgical treatment of chronic otitis media, there are very concept for endoscopy application. In the ENT Department at Medical University of Warsaw were performed 53 procedures by aid of endoscopy in period from September 2009 to December 2010. In this study there were 18 canal wall up tympanoplasties, 12 second look tympanoplasties and 8 canal wall down tympanoplasties. According to authors' experience endoscopy is the most useful in: There were three cases of cholesteatoma recurrence in the study found only due to endoscope support. In authors' opinion, the endoscopy is the useful tool in surgical treatment of chronic otitis media. Application of endoscopy during the middle ear surgery results in decrease in frequency of cholestatoma recurrence and increase in the effectiveness of the ossiculoplasty.
在内耳手术中，内镜已应用了二十多年，与仅采用标准显微镜可视化相比，使用内镜可降低胆脂瘤复发率。在内耳成形术、镫骨手术和经耳道听骨成形术中，内镜可能是观察内陷袋的唯一可视化方法。在开放式或二期乳突根治鼓室成形术及后鼓室切开术中，内镜可作为一种辅助视角，支持传统的显微镜技术。由于慢性中耳炎的手术治疗方式多样，内镜的应用也有多种理念。2009年9月至2010年12月期间，华沙医科大学耳鼻喉科借助内镜进行了53例手术。本研究中有18例开放式鼓室成形术、12例二期鼓室成形术和8例开放式乳突根治鼓室成形术。根据作者的经验，内镜在以下方面最为有用：本研究中仅因内镜辅助发现3例胆脂瘤复发。作者认为，内镜是慢性中耳炎手术治疗中的有用工具。中耳手术中应用内镜可降低胆脂瘤复发频率，提高听骨成形术的效果。
