The impact of endoscopy on the treatment of cholesteatomas

Thiago de Oliveira Lima, Taís Figueiredo de Araújo, Letícia Clemente Alvim Soares, José Ricardo Gurgel Testa, Thiago de Oliveira Lima, Taís Figueiredo de Araújo, Letícia Clemente Alvim Soares, José Ricardo Gurgel Testa

Abstract

Recurrent cholesteatoma is relatively uncommon. Residual middle ear cholesteatomas account for most of the cases of recurrent disease. The limited role of microscopy in the visualization of tridimensional anatomic alterations of the temporal bone led to the use of endoscopic examination as an additional tool in the realm of ear surgery. Endoscopy has significantly aided in the management of chronic cholesteatomatous otitis media and in the prevention of recurrent disease.

Objective: To review the literature and assess the relevance of endoscopy in the surgical treatment of cholesteatomas and in the prevention of relapsing lesions.

Method: Searches on databases MedLine and LILACS were carried out between March and June of 2011 to select studies in which endoscopy was used in the management of cholesteatomas.

Results: Three studies comparing surgery aided by endoscopy and surgery performed with the aid of a microscope met the inclusion criteria.

Conclusion: Endoscopy has positively impacted the management of cholesteatomas and should be used in cholesteatoma surgery.

References

    1. Schuknecht HF. Pathology of ear. 1st. Harvard University Press; Cambridge: 1974.
    1. Cruz OLM, Costa SS. In: Otologia. Clínica e Cirúrgica. Cruz OLM, Costa SS, editors. Editora Revinter; Rio de Janeiro: 2000. Mastoidectomia; pp. 271–287.
    1. Wullstein H. Funktiolle Operationem in Mittelohr mit Hilfe des freien Spaltlappen-Transplantates. Arch Ohr Nas Kehlkopfheilk. 1952;161:422. doi: 10.1007/BF02129204.
    1. Zollner F. The principles of plastic surgery of the sound-conducting apparatus. J Laryngol Otol. 1955;69(10):637–652. doi: 10.1017/S0022215100051240.
    1. Yanagihara N, Gyo K, Sasaki Y, Hinohira Y. Prevention of recurrence of cholesteatoma in intact canal wall tympanoplasty. Am J Otol. 1993;14(6):590–594.
    1. Hinohira Y, Yanagihara N, Gyo K. Improvements to staged canal wall up tympanoplasty for middle ear cholesteatoma. Otolaryngol Head Neck Surg. 2007;137(6):913–917. doi: 10.1016/j.otohns.2007.09.012.
    1. Cruz OLM, Kasse CA, Leonhardt FD. Eficácia do tratamento cirúrgico da otite média crônica colesteatomatosa. Rev Bras Otorrinolaringol. 2001;67(2):142–146.
    1. McRackan TR, Abdellatif WM, Wanna GB, Rivas A, Gupta N, Dietrich MS, et al. Evaluation of second look procedures for pediatric cholesteatomas. Otolaryngol Head Neck Surg. 2011;145(1):154–160. doi: 10.1177/0194599810396624.
    1. Thomassin JM, Korchia D, Doris JM. Endoscopic-guided otosurgery in the prevention of residual cholesteatomas. Laryngoscope. 1993;103(8):939–943. doi: 10.1288/00005537-199308000-00021.
    1. Sheehy JL, Brackmann DE, Graham MD. Cholesteatoma surgery: residual and recurrent disease. A review of 1,024 cases. Ann Otol. 1977;86(4 Pt 1):451–462.
    1. Cochrane Reviews Handbook 4.1.5. Oxford: Update Software 6; 2002
    1. Liu Y, Sun JJ, Lin YS, Zhao DH, Zhao J, Lei F. Otoendoscopic treatment of hidden lesions in otomastoiditis. Chin Med J. 2010;123(3):291–295.
    1. Gyo K, Sasaki Y, Hinohira Y, Yanagihara N. Residue of middle ear cholesteatoma after intact canal wall tympanoplasty: surgical findings at one year. Ann Otol Rhinol Laryngol. 1996;105(8):615–619.
    1. Tarabichi M. Endoscopic middle ear surgery. Ann Otol Rhinol Laryngol. 1999;108(1):39–46.
    1. Tarabichi M. Endoscopic management of acquired cholesteatoma. Am J Otol. 1997;18(5):544–549.
    1. Badr-el-Dine M. Value of ear endoscopy in cholesteatoma surgery. Otol Neurotol. 2002;23(5):631–635. doi: 10.1097/00129492-200209000-00004.
    1. Barakate M, Bottrill I. Combined approach tympanoplasty for cholesteatoma: impact of middle-ear endoscopy. J Laryngol Otol. 2008;122(2):120–124. doi: 10.1017/S0022215107009346.
    1. El-Meselaty K, Badr-el-Dine M, Mandour M, Mourad M, Darweesh R. Endoscope affects decision making in cholesteatoma surgery. Otolaryngol Head Neck Surg. 2003;129(5):490–496. doi: 10.1016/S0194-5998(03)01577-8.
    1. Ayache S, Tramier B, Strunski V. Otoendoscopy in cholesteatoma surgery of the middle ear: what benefits can be expected? Otol Neurotol. 2008;29(8):1085–1090. doi: 10.1097/MAO.0b013e318188e8d7.
    1. Thomassin JM, Korchia D, Duchon-Doris JM. Residual cholesteatoma: its prevention by surgery with endoscopic guidance. Rev Laryngol Otol Rhinol (Bord) 1991;112(5):405–408.
    1. Shelton C, Sheehy JL. Tympanoplasty: review of 400 staged cases. Laryngoscope. 1990;100(7):679–681. doi: 10.1288/00005537-199007000-00001.
    1. Smyth GD. Canal wall for cholesteatoma: up or down? Long-term results. Am J Otol. 1985;6(1):1–2.
    1. Arriaga MA. Cholesteatoma in children. Otolaryngol Clin North Am. 1994;27(3):573–591.
    1. Nogueira Júnior JF, Cruz DN. Ear endoscopic surgery: dissection of the middle ear. Int Arch Otorhinolaryngol. 2009;13(4):421–425.
    1. Donaldson JA, Anson BJ, Warpeha RL, Rensink MJ. The surgical anatomy of the sinus tympani. Arch Otolaryngol. 1970;91(3):219–227. doi: 10.1001/archotol.1970.00770040325003.
    1. Marchioni D, Mattioli F, Alicandri-Ciufelli M, Presutti L. Transcanal endoscopic approach to the sinus tympani: a clinical report. Otol Neurotol. 2009;30(6):758–765. doi: 10.1097/MAO.0b013e3181b0503e.
    1. Nomura Y. Effective photography in otolaryngology-head and neck surgery: endoscopic photography of the middle ear. Otolaryngol Head Neck Surg. 1982;90(4):395–398.
    1. Yung MW. The use of middle ear endoscopy: has residual cholesteatoma been eliminated? J Laryngol Otol. 2001;115(12):958–961. doi: 10.1258/0022215011909765.

Source: PubMed

Sponsorer och medarbetare

Medicinska tillstånd

Läkemedelsinterventioner

3
Prenumerera