2,113 results match your criteria Middle Ear Endoscopy


Cholesteatoma Surgery With a Dehiscent High Jugular Bulb Treated With Surgery Assisted With Underwater Endoscopy: A Case Report.

Ear Nose Throat J 2021 Apr 29:1455613211009135. Epub 2021 Apr 29.

Department of Otorhinolaryngology, 12847Juntendo University Faculty of Medicine, Hongo, Bunkyo-ku, Tokyo, Japan.

A dehiscent high jugular bulb would be a pitfall in middle ear surgery especially for cholesteatoma. We report a case of cholesteatoma attached to a dehiscent high jugular bulb successfully treated with surgery assisted with underwater endoscopy. To the best of our knowledge, no previous study has reported a case of cholesteatoma with dehiscent high jugular bulb treated with surgery assisted with underwater endoscopy. Read More

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Foreign Body in the Eustachian Tube: A Challenging Diagnosis and Management.

Turk Arch Otorhinolaryngol 2021 Mar 26;59(1):80-83. Epub 2021 Mar 26.

Department of Otorhinolaryngology & Head and Neck Surgery, Hospital Pedro Hispano, Matosinhos, Portugal.

Foreign bodies in the external ear are very common. The same cannot be said about foreign bodies in the Eustachian tube (ET). We report the case of a 63-year-old woman with a history of painless left side otorrhea and hearing loss. Read More

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A volumetric three-dimensional evaluation of invasiveness of an endoscopic and microscopic approach for transmeatal visualisation of the middle ear.

J Laryngol Otol 2021 Apr 22:1-5. Epub 2021 Apr 22.

Department of Otorhinolaryngology, Amsterdam, The Netherlands.

Objective: This study aimed to compare the necessary scutum defect for transmeatal visualisation of middle-ear landmarks between an endoscopic and microscopic approach.

Method: Human cadaveric heads were used. In group 1, middle-ear landmarks were visualised by endoscope (group 1 endoscopic approach) and subsequently by microscope (group 1 microscopic approach following endoscopy). Read More

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Aeration of the Human Prussak's Space: A 3D Synchrotron Imaging Study.

Otol Neurotol 2021 Apr 14. Epub 2021 Apr 14.

Department of Surgical Sciences, Otorhinolaryngology and Head and Neck Surgery, Uppsala University Department of Otolaryngology, Uppsala University Hospital, Uppsala, Sweden Department of Otolaryngology-Head and Neck Surgery, Western University, London, Ontario Canadian Light Source Inc., Saskatoon, Saskatchewan Department of Medical Biophysics and Department of Electrical and Computer Engineering, Western University, London, Ontario, Canada.

Objectives: Prussak's space (PS) is an intricate middle ear region which may play an essential role in the development of middle ear disease. The three-dimensional (3D) anatomy of the human PS and its drainage routes remain relatively unknown. Earlier studies have histologically analyzed PS, by micro-dissection and endoscopy. Read More

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[Quality of life assessment after endoscopic and microscopic myringoplasty using Chinese version of the Zurich chronic middle ear inventory].

Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021 Apr;35(4):297-301

Department of Otorhinolaryngology Head and Neck Surgery,the Third Hospital of Peking University,Beijing,100191,China.

To assess and compare therapeutic effects and quality of life after endoscopic and microscopic myringoplasty using Chinese version of the Zurich chronic middle ear inventory(ZCMEI). Patients with chronic suppurative otitis media underwent myringoplasty at the Third Hospital of Peking University from October 2018 to September 2019 were included in this study and divided into two groups: endoscopic tympanoplasty group(=40) and microscopic tympanoplasty group(=57). ZCMEI survey and pure tone audiometry were conducted preoperatively and 3-9 months postoperatively. Read More

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Middle-ear or mastoid granulation pathology associated with retraction of the pars flaccida and low-pitched tinnitus.

Authors:
Z Lou

J Laryngol Otol 2021 Apr 24;135(4):332-335. Epub 2021 Mar 24.

Department of Otorhinolaryngology, Affiliated Yiwu Hospital of Wenzhou Medical University, Yiwu Central Hospital, Yiwu city, China.

Objective: This study aimed to evaluate the clinical features and outcomes of patients with middle-ear granulation pathologies associated with attic retractions.

Method: The clinical records of adult patients with middle-ear granulation pathologies and attic retractions confirmed via computed tomography and surgical exploration between January 2012 and January 2019 were retrospectively reviewed.

Results: A total of 59 patients were included. Read More

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Aerosol and Droplet Risk of Common Otolaryngology Clinic Procedures.

Ann Otol Rhinol Laryngol 2021 Mar 18:34894211000502. Epub 2021 Mar 18.

Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Objectives: Define aerosol and droplet risks associated with routine otolaryngology clinic procedures during the COVID-19 era.

Methods: Clinical procedures were simulated in cadaveric heads whose oral and nasal cavities were coated with fluorescent tracer (vitamin B2) and breathing was manually simulated through retrograde intubation. A cascade impactor placed adjacent to the nares collected generated particles with aerodynamic diameters ≤14. Read More

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The outcomes of endoscopic approach for attic cholesteatoma: underwater continuous drilling versus traditional intermittent drilling.

J Laryngol Otol 2021 Apr 17;135(4):310-314. Epub 2021 Mar 17.

ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University, China.

Objective: This study aimed to analyse the differences between underwater continuous drilling and traditional intermittent drilling for attic cholesteatoma.

Methods: The clinical data of 61 patients with attic cholesteatoma who underwent an endoscopic approach procedure were analysed. Forty patients underwent underwater continuous drilling (group A), and 21 patients underwent traditional intermittent drilling (group B). Read More

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[Transcanal endoscopic middle ear surgery in children with chronic suppurative otitis media].

Vestn Otorinolaringol 2021 ;86(1):25-29

N.I. Pirogov Russian National Research Medical University, Moscow, Russia.

Otomicroscopic surgery remains the gold standard in the surgical treatment of patients with CHS. Endoscopic ear surgery is gaining more and more importance as an adjunct to microsurgery. Recently, thanks to the resolution of the endoscopic technique, endoscopic surgery can be used as an independent method. Read More

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Types of Transnasal Endoscopic Nasopharyngectomy for Recurrent Nasopharyngeal Carcinoma: Shanghai EENT Hospital Experience.

Front Oncol 2020 14;10:555862. Epub 2021 Jan 14.

Department of Otolaryngology, Eye, Ear, Nose and Throat Hospital, Shanghai Medical College of Fudan University, Shanghai, China.

Background: Transnasal endoscopic nasopharyngectomy (TEN) has become increasingly used for recurrent nasopharyngeal carcinoma (rNPC); however, there is no report on the definitive resectable contour for TEN according to the latest staging system for nasopharyngeal carcinoma. The aim of this study was to establish the types of TEN for rNPC.

Materials And Methods: A total of 101 rNPC patients underwent TEN from January 2016 to April 2019 at the authors' institution. Read More

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January 2021

Malignant Transformation of Temporal Bone Schneiderian Papilloma Associated with HPV-6.

Case Rep Otolaryngol 2021 25;2021:6684254. Epub 2021 Jan 25.

Department of Otorhinolaryngology, Head and Neck Surgery, Medical Faculty OWL, Bielefeld University, Campus Klinikum, Bielefeld, Germany.

Introduction: Temporal bone Schneiderian papillomas (TBSPs) rarely present as a primary tumors arising from the middle ear and mastoid process. The clinical findings and imaging of TBSPs are not specific. Therefore, diagnosis can only reliably be definitively established by histopathology. Read More

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January 2021

Nasopharyngeal diffuse large B-cells lymphoma causing acute airway obstruction amid COVID-19 crisis: an anaesthetist's nightmare.

BMJ Case Rep 2021 Jan 28;14(1). Epub 2021 Jan 28.

Department of Anaesthesia and Intensive Care Unit, Hospital Queen Elizabeth, Kota Kinabalu, Sabah, Malaysia.

Acute stridor is often an airway emergency. We present a valuable experience handling an elderly woman who was initially treated as COVID-19 positive during the pandemic in November 2020. She needed an urgent tracheostomy due to nasopharyngeal (NP) diffuse large B-cell lymphoma causing acute airway obstruction. Read More

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January 2021

Application of a novel transcanal keyhole technique in endoscopic cholesteatoma surgery.

Acta Otolaryngol 2021 Apr 27;141(4):328-333. Epub 2021 Jan 27.

ColIege of Otolaryngology Head and Neck Surgery, Chinese PLA General Hospital, Beijing, China.

Background: It is difficult to deal with epitympanic cholesteatoma in otologic surgery. The keyhole technique can realize minimally invasive surgery and reconstruct the middle ear canal.

Objective: To explore the clinical application of keyhole technique in primary and second-look surgery in middle ear cholesteatoma. Read More

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Endoscopic epitympanic exploration in mucosal chronic otitis media: is canal wall up mastoidectomy really needed?

J Laryngol Otol 2021 Jan 25;135(1):39-44. Epub 2021 Jan 25.

Institute of Post-Graduate Medical Education and Research ('IPGMER') and Seth Sukhlal Karnani Memorial ('SSKM') Hospital, Kolkata, India.

Objective: To compare endoscopic epitympanic exploration with conventional canal wall up (cortical) mastoidectomy for mucosal chronic otitis media in terms of post-operative outcomes.

Methods: Seventy-six patients diagnosed with chronic otitis media (mucosal variety) were randomly assigned to two treatment groups: endoscopic epitympanic exploration and conventional canal wall up (cortical) mastoidectomy. The groups were compared in terms of: post-operative anatomical outcomes (graft uptake), middle-ear physiological outcomes (post-operative tympanometry), audiological outcomes (air-bone gap), surgical time, post-operative pain, vertigo, and long-term complications such as retraction pocket and re-perforation. Read More

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January 2021

[Basis of endoscopic dissection of the ear with analysis of endoscopic anatomy. Part 2.]

Vestn Otorinolaringol 2020 ;85(6):116-118

National Medical Research Center of Children's Health of the Ministry of Health of Russia, Moscow, Russia.

Nowadays, endoscopic transcanal otosurgery with confident steps is becoming a practice. Obviously, any new method of intervention needs to be repeatedly tested by the surgeon before it is used on the patient. This is why dissection work is so important and popular. Read More

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January 2021

[Inferior turbinate neoplasms].

Vestn Otorinolaringol 2020 ;85(6):111-115

Tashkent State Dental Institute, Tashkent, Uzbekistan.

Introduction: The main aim of the work was to describe a rare clinical case of osteoma of inferior turbinate. The interest of the case is that such tumors are extremely rare.

Results: A female patient of 63 years old attended an ENT clinic. Read More

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January 2021

[Endoscopic septoplasty as a stage of endonasal dacryocystorhinostomy].

Vestn Otorinolaringol 2020 ;85(6):56-59

Pavlov First Saint Petersburg State Medical University Ministry of Healthcare in Russian Federation, St. Petersburg, Russia.

Endoscopic endonasal dacryocystorhinostomy (EN-DCR) is a modern and effective method for the surgical treatment of distal part obstruction of lacrimal pathway. Unsuccessful outcome and dacryocystitis relapses may be associated with concomitant rhinological pathology. Deviation of the nasal septum in the surgical area can affect the operation and contribute to stenosis. Read More

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January 2021

Cholesteatoma Imaging Using a Digital Image Enhancement System During Endoscopic Ear Surgery.

Otol Neurotol 2021 Feb;42(2):e244

Department of Otolaryngology-Head and Neck Surgery, JCHO Kumamoto General Hospital, Yatsushiro.

Supplemental Digital Content,http://links.lww.com/MAO/B68. Read More

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February 2021

Quantitative Measurements in Otological Surgery: Use of an Endoscopic Integrated Multipoint Laser System.

Otol Neurotol 2021 02;42(2):e172-e176

Great Ormond Street Hospital for Children.

Objectives: Assess the clinical utility of an Endoscopic Integrated Multipoint Laser System (EMLS) to otology. This is an emerging technology from automotive engineering that may offer the ability to accurately measure anatomy and pathology using an endoscope while undertaking ear surgery.

Patients: Simulated otology patients were used incorporating the Phacon Temporal Bone synthetic models and Kyoto Kagaku Ear Examination Simulator models to allow assessment of the EMLS technology in evaluating external ear and middle ear pathology, e. Read More

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February 2021

Ossicular chain reconstruction: endoscopic or microscopic?

J Laryngol Otol 2020 Dec 7;134(12):1108-1114. Epub 2021 Jan 7.

Department of Otorhinolaryngology, Dokuz Eylul University Medical School, Izmir, Turkey.

Objective: To compare the results of endoscopic and microscopic ossicular chain reconstruction surgery.

Methods: Patients undergoing ossicular chain reconstruction surgery via an endoscopic (n = 31) or microscopic (n = 34) technique were analysed for age, gender, Middle Ear Risk Index, ossicular chain defect, incision type, ossicular chain reconstruction surgery material, mean air conduction threshold, air-bone gap, air-bone gap gain, word recognition score, mean operation duration and mean post-operative follow up.

Results: Post-operative air conduction, air-bone gap and word recognition score improved significantly in both groups (within-subject p < 0. Read More

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December 2020

[ETV6-rearranged low-grade sinonasal non-intestinal-type adenocarcinoma: a clinicopathological analysis].

Zhonghua Bing Li Xue Za Zhi 2021 Jan;50(1):55-59

Department of Pathology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai 200031, China.

To investigate the clinicopathologic features, immunophenotype, molecular genetic changes of ETV6-rearranged low-grade sinonasal non-intestinal-type adenocarcinoma (ETV6-RLGSNAC). Primary sinonasal epithelial malignant tumors were collected from January 2015 to January 2020 in the Department of Pathology, Eye, Ear, Nose and Throat Hospital affiliated to Fudan University. Through morphological observation, immunohistochemical detection and fluorescence in situ hybridization (FISH), ETV6-RLGSNAC was screened out for clinicopathological feature analysis, and relevant literatures were reviewed. Read More

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January 2021

Introducing the High-definition 3D exoscope in ear surgery: preliminary analysis of advantages and limits compared with operative microscope.

Eur Arch Otorhinolaryngol 2021 Jan 2. Epub 2021 Jan 2.

Department of Otolaryngology, American Hospital Dubai, Dubai, United Arab Emirates.

Purpose: The aim of this study was to evaluate the potential of 3D exoscope (EX) in selected ear procedures assessing if this new technology could be an improvement in the field of ear surgery.

Methods: A case series of consecutive patients surgically treated with a post-auricular approach using EX was retrospectively compared with a similar previous series treated with operating microscope (OM). Patient demographics, indications for surgery, procedure type, complications, operating room setting time (ORst), operative time, adequacy of visualization, image quality, ergonomics aspects, instrument usability, and technique as a teaching tool were investigated. Read More

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January 2021

laryngeal perichondritis: unexpected diagnosis.

BMJ Case Rep 2020 Dec 22;13(12). Epub 2020 Dec 22.

Department of Otorhinolaryngology, Faculty of Medicine, National University of Malaysia, Kuala Lumpur, Malaysia

A 57-year-old male chronic smoker with underlying diabetes mellitus presented with dysphonia associated with cough, dysphagia and reduced effort tolerance of 3 months' duration. Videoendoscope finding revealed bilateral polypoidal and erythematous true and false vocal fold with small glottic airway. The patient was initially treated as having tuberculous laryngitis and started on antituberculous drug. Read More

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December 2020

Transcanal Endoscopic Management of Glomus Tympanicum: Multicentric Case Series.

Otol Neurotol 2021 02;42(2):312-318

Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital of Modena, Modena.

Objective: The aim of this study was to report a multicentric surgical experience in the exclusive endoscopic management of glomus tympanicum (GT).

Study Design: Retrospective case series review at two institutions.

Setting: Tertiary referral centers. Read More

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February 2021

Laryngeal mucous membrane pemphigoid: transnasal laryngoscopy to highlight a severe case.

BMJ Case Rep 2020 Dec 17;13(12). Epub 2020 Dec 17.

Guy's and St Thomas' Hospitals NHS Trust, London, London, UK.

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December 2020

Effects of freediving on middle ear and eustachian tube function.

Diving Hyperb Med 2020 Dec;50(4):350-355

Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Germany.

Introduction: During descent in freediving there is exposure to rapidly increasing pressure. Inability to quickly equalise middle ear pressure may cause trauma to the ear. This study aimed to evaluate the occurrence of pressure-related damage to the middle ear and the Eustachian tube during freediving and to identify possible risk factors. Read More

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December 2020

Glomangiopericytoma of the sphenoethmoid complex.

BMJ Case Rep 2020 Dec 13;13(12). Epub 2020 Dec 13.

Pathology, NewYork-Presbyterian Hospital, New York, New York, USA.

Sinonasal glomangiopericytoma is a rare sinonasal tumour accounting for less than. 5% of all sinonasal tumours. This tumour often presents as another, more common type of vascular lesion and is similarly prone to haemorrhage. Read More

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December 2020

Non-infective supraglottitis: two cases of unusual aetiology.

BMJ Case Rep 2020 Dec 9;13(12). Epub 2020 Dec 9.

Department of ENT, Luton and Dunstable University Hospital, Luton, UK.

Supraglottitis is an ear, nose and throat emergency where swelling of the laryngeal structures can threaten to fatally obstruct the airway. Most cases of supraglottitis are of infective origin but other rarer causes have been documented. We present two patients who presented with stridor and were found to have supraglottic oedema on fibreoptic nasolaryngoscopy. Read More

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December 2020

Microbiome of the Middle Meatus in HIV.

West Afr J Med 2020 Dec;37(7):801-804

Gombe State University and Federal Teaching Hospital, Gombe, Nigeria.

Background: Infection with Human Immunodeficiency Virus (HIV) leads to immune dysfunction with increased risk of developing varied infections including opportunistic infections. It may be that a change in the microbial community of HIV patients could be contributory to their development of rhinosinusitis. However, the normal sinonasal microbiome in HIV is yet to be thoroughly studied. Read More

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December 2020

Teaching Middle Ear Anatomy and Basic Ear Surgery Skills: A Qualitative Study Comparing Endoscopic and Microscopic Techniques.

Otolaryngol Head Neck Surg 2020 Dec 8:194599820977191. Epub 2020 Dec 8.

Department for Assessment and Evaluation, Institute for Medical Education, University of Bern, Bern, Switzerland.

Objective: Endoscopic ear surgery is gaining popularity as a minimally invasive surgical technique for middle ear diseases. Its ongoing implementation into clinical routine has consequences regarding teaching of middle ear anatomy and surgery. To improve undergraduate and postgraduate training, we investigated the perception of and preference for endoscopy as compared with microscopy at different educational levels. Read More

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December 2020