Endoscopic management of limited attic cholesteatoma

The Laryngoscope
Muaaz Tarabichi

Abstract

Microscopic postauricular tympanomastoidectomy provides a limited exposure to the attic, especially anteriorly. In contrast, the endoscope offers wide transcanal access to the attic, allowing for complete removal of limited attic disease, possibly without interrupting the ossicular chain. This report evaluates 8 years of experience with transcanal endoscopic management of limited attic cholesteatoma. Case series. Seventy-three ears with limited attic cholesteatoma underwent endoscopic transcanal tympanotomy and extended atticotomy to access and completely remove the sac. Disease was dissected off the tegmen, the medial and lateral attic walls, and the ossicles. Appropriate ossicular reconstruction was performed. The defect was reconstructed with a composite tragal graft. A transcanal endoscopic approach was adequate for removal of disease in all cases. There were no iatrogenic facial nerve injuries. Bone thresholds were stable. Disease was dissected off the head of the malleus and the body of incus with preservation of both in 24 ears. Mean follow-up was 43 months. Five ears required revision for recurrent disease, and eight were revised for failed ossicular reconstruction or persistent perforation. Moderate to severe retractio...Continue Reading

References

Jul 1, 1977·The Annals of Otology, Rhinology, and Laryngology·J L SheehyM D Graham
Nov 1, 1976·The Laryngoscope·M E Glasscock, G W Miller
Oct 1, 1990·Archives of Otolaryngology--head & Neck Surgery·H TakahashiK Kurata
Jul 1, 1982·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Y Nomura
Aug 1, 1993·The Laryngoscope·J M ThomassinJ M Doris
Feb 4, 1999·The Annals of Otology, Rhinology, and Laryngology·M Tarabichi
Jun 1, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·M Tarabichi

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Citations

Jul 6, 2010·Surgical and Radiologic Anatomy : SRA·Daniele MarchioniLivio Presutti
Jan 1, 2010·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Muaaz Tarabichi
Apr 3, 2012·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Daniele MarchioniLivio Presutti
Sep 3, 2013·Current Opinion in Otolaryngology & Head and Neck Surgery·Adrian L James, Blake C Papsin
Dec 10, 2013·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tsukasa ItoSeiji Kakehata
May 24, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Yutaka YamamotoSugata Takahashi
Dec 23, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·G StraussA Dietz
Feb 22, 2011·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Daniele MarchioniLivio Presutti
Sep 27, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Daniele MarchioniLivio Presutti
May 29, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Stephane Ayache
Oct 7, 2008·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Stephane AyacheVladimir Strunski
Aug 26, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Daniele MarchioniLivio Presutti
Apr 27, 2010·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Muaaz Tarabichi
Jan 6, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Lela MigirovMichael Wolf
Apr 1, 2011·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Daniele MarchioniLivio Presutti
Jul 15, 2015·The Laryngoscope·Muaaz TarabichiMurtaza Najmi
Nov 4, 2015·International Journal of Pediatric Otorhinolaryngology·Tsukasa ItoSeiji Kakehata
Apr 10, 2013·Otolaryngologic Clinics of North America·Livio PresuttiDaniele Marchioni
Apr 10, 2013·Otolaryngologic Clinics of North America·Muaaz TarabichiDavid D Pothier
Apr 10, 2013·Otolaryngologic Clinics of North America·João Flávio NogueiraDaniele Marchioni
Apr 10, 2013·Otolaryngologic Clinics of North America·Muaaz TarabichiStéphane Ayache
Jan 9, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Sampath Chandra PrasadMario Sanna
Jan 6, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Daniele BernardeschiOlivier Sterkers
Jul 5, 2011·Journal of Neuroradiology. Journal De Neuroradiologie·Matteo Alicandri-CiufelliLivio Presutti
Jul 14, 2010·The Laryngoscope·Daniele MarchioniLivio Presutti
Jun 15, 2011·The Laryngoscope·Daniele MarchioniLivio Presutti
Jan 21, 2014·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·N NassifD Zanetti
Nov 8, 2014·The Laryngoscope·Muaaz Tarabichi, Murtaza Najmi
Dec 17, 2009·The Laryngoscope·Daniele MarchioniLivio Presutti
May 12, 2015·The Laryngoscope·Muaaz Tarabichi, Murtaza Najmi
Oct 21, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Taisuke KobayashiMasamitsu Hyodo
Oct 21, 2015·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tomoo WatanabeSeiji Kakehata
Sep 5, 2015·International Journal of Pediatric Otorhinolaryngology·Nader NassifLuca Oscar Redaelli de Zinis
Feb 24, 2015·The Laryngoscope·Daniele MarchioniLivio Presutti
Mar 13, 2015·Acta Oto-laryngologica·Muaaz Tarabichi, Murtaza Najmi
Nov 25, 2014·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Tomoo WatanabeSeiji Kakehata
Feb 11, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Daniele MarchioniLivio Presutti
Jan 30, 2015·International Journal of Pediatric Otorhinolaryngology·Daniele MarchioniLivio Presutti
Apr 24, 2016·Auris, Nasus, Larynx·Daniele MarchioniLivio Presutti
Nov 12, 2016·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Muaaz TarabichiMustafa Kapadia
Jun 24, 2016·Clinical and Experimental Otorhinolaryngology·Nayeon ChoiIl Joon Moon
Jul 30, 2016·Otolaryngologic Clinics of North America·Daniele MarchioniLivio Presutti
Aug 24, 2016·Annals of African Medicine·Abubakar Danjuma Salisu, Yasir Nuhu Jibril
Aug 28, 2016·Otolaryngologic Clinics of North America·Ruwan KiringodaDaniel J Lee
Aug 28, 2016·Otolaryngologic Clinics of North America·Muaaz Tarabichi, Mustafa Kapadia

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