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Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review

Traditional surgery for cholesteatoma of the middle ear is performed by microscopic approaches. However, in recent years endoscopic instrumentation, techniques and knowledge have greatly improved, and in our opinion endoscopic surgical techniques will gain increasing importance in otologic surgery i...

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Autores principales: PRESUTTI, L., GIOACCHINI, F.M., ALICANDRI-CIUFELLI, M., VILLARI, D., MARCHIONI, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Pacini Editore SpA 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035841/
https://www.ncbi.nlm.nih.gov/pubmed/24882923
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author PRESUTTI, L.
GIOACCHINI, F.M.
ALICANDRI-CIUFELLI, M.
VILLARI, D.
MARCHIONI, D.
author_facet PRESUTTI, L.
GIOACCHINI, F.M.
ALICANDRI-CIUFELLI, M.
VILLARI, D.
MARCHIONI, D.
author_sort PRESUTTI, L.
collection PubMed
description Traditional surgery for cholesteatoma of the middle ear is performed by microscopic approaches. However, in recent years endoscopic instrumentation, techniques and knowledge have greatly improved, and in our opinion endoscopic surgical techniques will gain increasing importance in otologic surgery in the future. The aim of this study was to focus on outcomes obtained using endoscopic surgery for the treatment of middle ear cholesteatoma. A systematic review of the literature was performed. A total of 7 articles comprising 515 patients treated exclusively with endoscope or with a combined technique were found. During post-surgical follow-up, 48 (9.3%) patients showed a residual or recurrent pathology. Despite the small number of patients analyzed in our review, the outcomes of this technique appear to be promising. In particular, concerning the rates of recurrences and residual disease, endoscopic middle ear surgery appears to guarantee similar results in comparison to classic microscopic approaches with the advantage of performing minimally invasive surgery.
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spelling pubmed-40358412014-06-01 Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review PRESUTTI, L. GIOACCHINI, F.M. ALICANDRI-CIUFELLI, M. VILLARI, D. MARCHIONI, D. Acta Otorhinolaryngol Ital Review Traditional surgery for cholesteatoma of the middle ear is performed by microscopic approaches. However, in recent years endoscopic instrumentation, techniques and knowledge have greatly improved, and in our opinion endoscopic surgical techniques will gain increasing importance in otologic surgery in the future. The aim of this study was to focus on outcomes obtained using endoscopic surgery for the treatment of middle ear cholesteatoma. A systematic review of the literature was performed. A total of 7 articles comprising 515 patients treated exclusively with endoscope or with a combined technique were found. During post-surgical follow-up, 48 (9.3%) patients showed a residual or recurrent pathology. Despite the small number of patients analyzed in our review, the outcomes of this technique appear to be promising. In particular, concerning the rates of recurrences and residual disease, endoscopic middle ear surgery appears to guarantee similar results in comparison to classic microscopic approaches with the advantage of performing minimally invasive surgery. Pacini Editore SpA 2014-06 /pmc/articles/PMC4035841/ /pubmed/24882923 Text en © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License, which permits for noncommercial use, distribution, and reproduction in any digital medium, provided the original work is properly cited and is not altered in any way. For details, please refer to http://creativecommons.org/licenses/by-nc-nd/3.0/
spellingShingle Review
PRESUTTI, L.
GIOACCHINI, F.M.
ALICANDRI-CIUFELLI, M.
VILLARI, D.
MARCHIONI, D.
Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
title Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
title_full Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
title_fullStr Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
title_full_unstemmed Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
title_short Results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
title_sort results of endoscopic middle ear surgery for cholesteatoma treatment: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035841/
https://www.ncbi.nlm.nih.gov/pubmed/24882923
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