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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Chinese PLA General Hospital
2020
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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. |
format | Online Article Text |
id | pubmed-7691841 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Chinese PLA General Hospital |
record_format | MEDLINE/PubMed |
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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