Outcomes of Using Otoendoscopy During Surgery for Cholesteatoma

To determine the impact of using otoendoscopy at the time of primary surgery of cholesteatoma in identifying hidden “cholesteatoma remnant”. Study was prospective study. Setting was University tertiary care hospital. One hundred fifty, patients diagnosed clinically and by CT as having cholesteatoma,...

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Veröffentlicht in:Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2019-11, Vol.71 (Suppl 2), p.1036-1039
Hauptverfasser: Elfeky, Alaa Eldin M., Khazbzk, Alaa O., Nasr, Wail F., Emara, Tarek A., Elanwar, Mohamed W., Amer, Hazem S., Fouad, Yasser A.
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container_end_page 1039
container_issue Suppl 2
container_start_page 1036
container_title Indian journal of otolaryngology, and head, and neck surgery
container_volume 71
creator Elfeky, Alaa Eldin M.
Khazbzk, Alaa O.
Nasr, Wail F.
Emara, Tarek A.
Elanwar, Mohamed W.
Amer, Hazem S.
Fouad, Yasser A.
description To determine the impact of using otoendoscopy at the time of primary surgery of cholesteatoma in identifying hidden “cholesteatoma remnant”. Study was prospective study. Setting was University tertiary care hospital. One hundred fifty, patients diagnosed clinically and by CT as having cholesteatoma, have been operated. 64 patients operated by using canal up technique and 86 patients operated by using canal down technique. Once all visible cholesteatoma was removed with standard microscopic techniques, otoendoscopy was utilized in every patient to identify any hidden “cholesteatoma remnant”. Despite apparent total microscopic eradication of cholesteatoma of the operated cases, otoendoscopy at time of primary surgery revealed an overall incidence of hidden cholesteatoma remnants of 18%. The incidence of hidden cholesteatoma remnants identified by otoendoscopy was 23% in the canal up group and 14% in the canal down group. Otoendoscopy should be used as an adjunct with standard microscopic technique to identify hidden cholesteatoma remnants during surgery of cholesteatoma.
doi_str_mv 10.1007/s12070-017-1084-7
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subjects Head and Neck Surgery
Medicine
Medicine & Public Health
Original
Original Article
Otolaryngology
Otorhinolaryngology
Surgery
title Outcomes of Using Otoendoscopy During Surgery for Cholesteatoma
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