Bae Mi Rye, Kang Woo Seok, Chung Jong Woo
Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clin Exp Otorhinolaryngol. 2019 May;12(2):156-162. doi: 10.21053/ceo.2018.00507. Epub 2018 Sep 1.
We aimed to compare clinical outcomes including hearing improvement and cholesteatoma recurrence between endoscopic and conventional microscopic surgeries in patients with attic cholesteatoma.
We collected data from patients with attic cholesteatoma who were treated using endoscopic (10 patients) and microscopic (10 patients) approaches by a single surgeon. The data were retrospectively reviewed for patient characteristics, intraoperative findings, hearing levels, and follow-up clinical status. Recurrence of the cholesteatoma, improvement of hearing, and operation time were evaluated.
Ossiculoplasty was performed in four patients in the endoscopic group and two patients in the microscopic group. Lempert endaural incision II was used in all the patients in the microscopic group, whereas Lempert I incision was used in all the patients in the endoscopic approach group. There were no significant differences between the two groups regarding hearing improvement and operating time. And, there were no recurrences during the follow-up period in both groups.
The endoscopic approach for the management of attic cholesteatoma is as useful as the microscopic approach.
我们旨在比较上鼓室胆脂瘤患者在内镜手术和传统显微镜手术之间的临床结果，包括听力改善情况和胆脂瘤复发情况。
我们收集了由同一位外科医生采用内镜（10例患者）和显微镜（10例患者）方法治疗的上鼓室胆脂瘤患者的数据。对这些数据进行回顾性分析，以了解患者特征、术中发现、听力水平和随访临床状况。评估胆脂瘤的复发情况、听力改善情况和手术时间。
内镜组有4例患者进行了听骨链重建，显微镜组有2例患者进行了听骨链重建。显微镜组所有患者均采用Lempert耳道内切口II，而内镜组所有患者均采用Lempert I切口。两组在听力改善和手术时间方面无显著差异。并且，两组在随访期间均无复发。
上鼓室胆脂瘤的内镜治疗方法与显微镜治疗方法同样有效。
