Endoscopic tympanoplasty in patients with attic retraction pockets.
OBJECTIVE
Patients undergoing endoscopic middle ear surgery require reconstruction procedures that are able to give adequate functional results, with particular attention to ventilation of middle ear routes and mastoid tissue preservation.


METHODS
Outcome research on a prospective case series in a tertiary university referral center.


METHODS
A case series of 27 patients with attic retraction pockets underwent endoscopic middle ear surgical procedures. Three kinds of tympanoplasty were selected and performed.


RESULTS
In all 27 subjects, it was possible to preserve the mastoid bone and the epitympanic-mastoid mucosa by performing a transcanal endoscopic approach. In total, 21 of 27 (77.7%) subjects presented no recurrence of the disease at 20.1 months mean follow-up.


CONCLUSIONS
Three main types of endoscopic tympanoplasty can be performed for surgical treatment of attic retraction pockets, preserving as much as possible the ventilation routes, physiology, and anatomy of the middle ear.
Marchioni
Daniele
D
Department of Otolaryngology and Head and Neck Surgery, Azienda Ospedaliero-Universitaria Policlinico di Modena, Modena, Italy.
Alicandri-Ciufelli
Matteo
M
Molteni
Gabriele
G
Genovese
Elisabetta
E
Presutti
Livio
L
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010033:Otitis Media / Q000601:surgery*; D038781:Otoscopy / Q000379:methods*; D014432:Tympanic Membrane / Q000473:pathology*; D014433:Tympanoplasty / Q000379:methods*