Bogomilsky M R, Polunin M M, Soldatsky Yu L, Minasyan V S, Ivanenko A M, Kulmakov S A
N.I. Pirogov Russian National Research Medical University, Moscow, Russia.
Morozovskaya Children's City Clinical Hospital, Moscow, Russia.
Vestn Otorinolaringol. 2021;86(1):25-29. doi: 10.17116/otorino20218601125.
Otomicroscopic surgery remains the gold standard in the surgical treatment of patients with CHS. Endoscopic ear surgery is gaining more and more importance as an adjunct to microsurgery. Recently, thanks to the resolution of the endoscopic technique, endoscopic surgery can be used as an independent method. This article presents the results of endoscopic tympanoplasty, endoscopic removal of the tympanic cholesteatoma, performed on the basis of the otorhinolaryngology department of the Morozov Children's City Clinical Hospital. Research has shown that transcanal endoscopic surgery is an effective alternative to traditional otomicroscopic surgery. Advantage in minimal impact and improved visualization of all quadrants of the tympanic membrane, the anterior tympanomeatal angle of the NSP, and structures of the middle ear.
耳显微手术仍然是慢性化脓性中耳炎患者外科治疗的金标准。耳内镜手术作为显微手术的辅助手段正变得越来越重要。近来，由于内镜技术分辨率的提高，内镜手术可作为一种独立的方法使用。本文展示了在莫罗佐夫市儿童临床医院耳鼻喉科进行的内镜鼓膜成形术、内镜下鼓膜胆脂瘤切除术的结果。研究表明，经耳道内镜手术是传统耳显微手术的一种有效替代方法。其优势在于对鼓膜各象限、NSP的前鼓室角以及中耳结构的影响最小且可视化效果更佳。
