Endoscopic Tympanoplasty
Video Type: CVideo- 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
- Clearly annotated and narration is a must in these videos
- These have clear but concise abstracts are not able to be indexed in PubMed
- Distributed in newsletters, featured on our website and social media
- Peer reviewed
Author: Justin Golub
Published:
Specialties: Endoscopy, Otolaryngology
Schools: NewYork Presbyterian Columbia University Medical Center
(0 votes, average: 0.00 out of 5)You need to be a registered member to rate this post.
Loading...Transcanal endoscopic tympanoplasty is illustrated with steps explained. This is a "realistic" case with bleeding and middle ear adhesions; tips to overcome these hurdles are discussed.
DOI# http://dx.doi.org/10.17797/atpw43so2e
Editor Recruited by: Ravi N. Samy
Procedure
Transcanal endoscopic tympanoplasty
Indications
Tympanic membrane perforation (particularly when microscope can not see full extend via transcanal approach), middle ear adhesions, conductive hearing loss
Contraindications
Very stenotic ear canals
Instrumentation
Setup
The bed is rotated 90 or 180 degrees and the endoscope tower is directly opposite the surgeon. A microscope is in the room, but does not need to be utilized. A 3x14 mm rigid endoscope with HD camera is used (using 0 and 30 degree tips).
Preoperative Workup
Audiogram, CT scan
Anatomy and Landmarks
Advantages/Disadvantages
Endoscope advantages: more light, higher magnification/clarity, wide field of view, visualization around corners with angled tips, better for teaching (assistants see same image as surgeon)
Endoscope disadvantages: 2D (but get pseudo-3D with movement), one-handed dissection
Complications/Risks
Disclosure of Conflicts
Acknowledgements
The author thanks the operating room staff and administration at NewYork-Presbyterian/Columbia University Medical Center for support of the Endoscopic Ear Surgery Program.
References
Golub JS. Building an endoscopic ear surgery program. Curr Opin Otolaryngol Head Neck Surg. 2016. [In Press]
Leave a Reply
Want to join the discussion?Feel free to contribute!