Goel Prakhar, Meher Ravi, Passey J C, Wadhwa Vikram, Kumar Jyoti
Department of Otorhinolaryngology, Maulana Azad Medical College, New Delhi, India.
Department of Radiodiagnosis, Maulana Azad Medical College, New Delhi, India.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4247-4254. doi: 10.1007/s12070-024-04827-0. Epub 2024 Jul 4.
Endoscopic middle ear surgery can be utilized to visualize and excise retraction pockets without the need for extensive bone work and removal of lateral bone. To evaluate the role of endoscope in the management of squamosal type of chronic otitis media. A total of 25 adults subjects (male = 12, female = 13) in the age group of 18-55 years suffering with chronic otitis media were operated by transcanal endoscopic approach. High resolution computed tomography of temporal bone was done to help identify the anatomy and underlying extent of disease. All patients were operated by transcanal endoscopic technique. The study concluded that the endoscope gives a better visualization of the middle ear and its hidden areas. The extensive bone work and associated cavity related problems can be avoided and normal anatomy can be preserved with the help of endoscopic ear surgery.
内镜中耳手术可用于可视化并切除内陷袋,而无需进行广泛的骨质处理和去除外侧骨质。为评估内镜在鳞状上皮型慢性中耳炎治疗中的作用。对25例年龄在18至55岁之间患有慢性中耳炎的成年受试者(男性12例,女性13例)采用经耳道内镜入路进行手术。进行颞骨高分辨率计算机断层扫描以帮助确定疾病的解剖结构和潜在范围。所有患者均采用经耳道内镜技术进行手术。研究得出结论,内镜能更好地观察中耳及其隐蔽区域。借助内镜耳手术可避免广泛的骨质处理及相关的腔隙相关问题,并保留正常解剖结构。