Endoscopic Cholesteatoma, Tympanoplasty, and Middle Ear Surgery
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2025-03-08
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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery
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University of Cape Town
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Abstract
The introduction of the binocular operating microscope was a landmark in modern otology as it changed the scope and character of ear surgery. The endoscope offers a new perspective of cholesteatoma and related surgical procedures; it increases the surgeon’s understanding of the disorder and its extension through the temporal bone and provides a wide field of view of the middle ear compared to the microscope. Even though it has been two decades since endoscopy was first used to explore mastoid cavities, the endoscope is used infrequently for surgical management of ear disease; most otologists have not felt compelled to master the newer endoscopic techniques. In addition, there has been a focus on using smaller diameter endoscopes for ear surgery which is counterproductive, as it eliminates the main (and possibly only) advantage of endoscopy i.e. wide field of view compared to that of the microscope. The rationale, advantages, limitations, technique are discussed in this chapter.
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Tarabichi, M. 2025. Endoscopic Cholesteatoma, Tympanoplasty, and Middle Ear Surgery. In Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery. J. Fagan, Ed.Cape Town, South Africa: University of Cape Town. 22. http://hdl.handle.net/11427/43486 .