Pinna stay suture in two handed endoscopic ear surgery: Our experience

American Journal of Otolaryngology
Sapna Ramkrishna Parab, Mubarak Muhamed Khan

Abstract

Transcanal endoscopic ear surgery provides a minimally invasive approach to the middle ear. We operate exclusively by the two handed technique of endoscopic ear surgery with Endoscope holders. We have incorporated the technique of stay suture for retraction of external ear canal into our practice of transcanal two handed endoscopic ear surgery after observing this technique by Prof Muaaz Tarabichi at the First International Congress on Endoscopic ear surgery Dubai, April 2015 for the single handed endoscopic ear surgery. To report our experience of the stay suture in transcanal two handed endoscopic ear surgery and highlight its advantages. Prospective non randomized clinical study. A total of 354 two handed transcanal endoscopic ear surgeries (202 endoscopic cartilage tympanoplasties and 152 endoscopic attic cholesteatoma surgeries) with endoscope holders operated from May 2015 to September 2017 with the stay suture were included in the study. The ear canal and the tympanic membrane visualisation, instrument manipulation were better with the stay suture technique of pinna retraction. The study reports the successful application and use of the pinna stay suture. It is a good option during two handed technique in Endoscopic Ear ...Continue Reading

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