title: Transcanal endoscopic management of cholesteatoma.
abstract: OBJECTIVE
  To assess the advantages and disadvantages of using endoscopic technique in the management of cholesteatoma.
  
  
  METHODS
  Retrospective case review.
  
  
  METHODS
  Private otology practice.
  
  
  METHODS
  Patients with cholesteatoma of the temporal bone presenting over a 16-year period to a single otologist.
  
  
  METHODS
  Primary endoscopic surgery for removal of the cholesteatoma and further reconstruction and monitoring of patients.
  
  
  METHODS
  Clinical evidence of recurrent cholesteatoma.
  
  
  RESULTS
  One hundred sixty-eight ear procedures performed for cholesteatoma using 2 primary techniques. Average follow-up was 35 months. Twelve recurrences were evident.
  
  
  CONCLUSIONS
  Endoscopic management of cholesteatoma allows the use of the ear canal as the direct and natural access point to cholesteatoma within the mesotympanum, attic, facial recess, sinus tympani, hypotympanum, and eustachian tube. It does not improve access to mastoid disease.
authors.affiliation: Department of Otolaryngology, American Hospital Dubai, Dubai, United Arab Emirates. mtarabichi@ahdubai.com
authors.forename: Muaaz
authors.initials: M
authors.lastname: Tarabichi
mesh_terms: D000328:Adult; D001301:Audiometry, Pure-Tone; D018424:Cholesteatoma, Middle Ear / Q000601:surgery*; D004424:Ear Canal / Q000601:surgery*; D004432:Ear, Middle / Q000601:surgery; D019723:Endoscopes; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013701:Temporal Bone / Q000601:surgery; D016896:Treatment Outcome