Use of Endoscopes for Chronic Ear Surgery in Children
Seth I. Rosenberg, MD;
Herbert Silverstein, MD;
Michael Hoffer, MD;
Mark Nichols, MD
Arch Otolaryngol Head Neck Surg. 1995;121(8):870-872.
Abstract
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Objective
To determine whether an endoscopic second-look examination of the mastoid and middle ear could replace an open second-look mastoidectomy.
Design
Patients were examined endoscopically. The findings were compared with a standard open mastoidectomy procedure during the same operation. The mastoid can be inspected through a small postauricular incision and the middle ear can be inspected through a myringotomy incision or tympanomeatal flap.
Patients
Ten patients aged 6 to 16 years.
Results
Endoscopic findings correlated exactly with open mastoidectomy findings in all cases.
Conclusion
In light of this study an open second-look mastoidectomy may be avoided if minimal or no recurrent cholesteatoma is found during the endoscopic exploration. The use of the ridged endoscope has added another dimension to the standard microsurgical techiques used in pediatric otology. The indications, techniques, and findings of otoendoscopy in the management of chronic otitis media in children will be presented.
(Arch Otolaryngol Head Neck Surg. 1995;121:870-872)
Author Affiliations
From the Department of Otolaryngology, University of Pennsylvania, Philadelphia (Drs Rosenberg and Silverstein); Department of Otolaryngology, University of South Florida, Tampa (Dr Silverstein); the Ear Research Foundation, Sarasota, Fla (Drs Rosenberg and Silverstein); and the US Naval Hospital, San Diego, Calif (Dr Hoffer). Dr Nichols is in private practice in Houston, Tex.
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ABSTRACT
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