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Role of endoscopy in surgical management of cholesteatoma: A systematic review

Endoscopes are increasingly being used in cholesteatoma surgeries either as an adjunct to microscopes or sometimes exclusively. Their role at present is more as adjunct to microscope which still remains the work-horse for mastoidectomy. However, as endoscopy and endoscopic instruments are increasing...

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Autores principales: Verma, Bhavika, Dabholkar, Yogesh G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Chinese PLA General Hospital 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7691841/
https://www.ncbi.nlm.nih.gov/pubmed/33293919
http://dx.doi.org/10.1016/j.joto.2020.06.004
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author Verma, Bhavika
Dabholkar, Yogesh G.
author_facet Verma, Bhavika
Dabholkar, Yogesh G.
author_sort Verma, Bhavika
collection PubMed
description Endoscopes are increasingly being used in cholesteatoma surgeries either as an adjunct to microscopes or sometimes exclusively. Their role at present is more as adjunct to microscope which still remains the work-horse for mastoidectomy. However, as endoscopy and endoscopic instruments are increasingly getting refined, role of endoscopy in management of cholesteatoma is continuously being appraised with progressively newer studies. This review aims to assess outcomes of several studies in which endoscopic techniques were used in cholesteatoma surgery and recognize common trends. An extensive review of literature on this theme was performed. Sixteen studies comprising of 1685 patients treated endoscopically either exclusively or in combination with microscope were included. Intra-operatively, in 267 (15.82%) cases, residual cholesteatoma was identified by endoscope in hidden areas after completion of surgery with microscope. On follow-up, recidivism was identified in 108 cases (6.4%) in second look procedures. Common sites of recurrence were hidden areas like sinus tympani. This review while acknowledging the value of microscope, highlights the merit of endoscope usage in cholesteatoma surgery and its role in reducing recurrence.
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spelling pubmed-76918412020-12-07 Role of endoscopy in surgical management of cholesteatoma: A systematic review Verma, Bhavika Dabholkar, Yogesh G. J Otol Review Endoscopes are increasingly being used in cholesteatoma surgeries either as an adjunct to microscopes or sometimes exclusively. Their role at present is more as adjunct to microscope which still remains the work-horse for mastoidectomy. However, as endoscopy and endoscopic instruments are increasingly getting refined, role of endoscopy in management of cholesteatoma is continuously being appraised with progressively newer studies. This review aims to assess outcomes of several studies in which endoscopic techniques were used in cholesteatoma surgery and recognize common trends. An extensive review of literature on this theme was performed. Sixteen studies comprising of 1685 patients treated endoscopically either exclusively or in combination with microscope were included. Intra-operatively, in 267 (15.82%) cases, residual cholesteatoma was identified by endoscope in hidden areas after completion of surgery with microscope. On follow-up, recidivism was identified in 108 cases (6.4%) in second look procedures. Common sites of recurrence were hidden areas like sinus tympani. This review while acknowledging the value of microscope, highlights the merit of endoscope usage in cholesteatoma surgery and its role in reducing recurrence. Chinese PLA General Hospital 2020-12 2020-07-19 /pmc/articles/PMC7691841/ /pubmed/33293919 http://dx.doi.org/10.1016/j.joto.2020.06.004 Text en © 2020 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review
Verma, Bhavika
Dabholkar, Yogesh G.
Role of endoscopy in surgical management of cholesteatoma: A systematic review
title Role of endoscopy in surgical management of cholesteatoma: A systematic review
title_full Role of endoscopy in surgical management of cholesteatoma: A systematic review
title_fullStr Role of endoscopy in surgical management of cholesteatoma: A systematic review
title_full_unstemmed Role of endoscopy in surgical management of cholesteatoma: A systematic review
title_short Role of endoscopy in surgical management of cholesteatoma: A systematic review
title_sort role of endoscopy in surgical management of cholesteatoma: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7691841/
https://www.ncbi.nlm.nih.gov/pubmed/33293919
http://dx.doi.org/10.1016/j.joto.2020.06.004
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