Transcanal endoscopic management of cholesteatoma.
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.
Tarabichi
Muaaz
M
Department of Otolaryngology, American Hospital Dubai, Dubai, United Arab Emirates. mtarabichi@ahdubai.com
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