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作 者:Sarah E.Ridge Kunal R.Shetty Daniel J.Lee
机构地区:[1]Eaton-Peabody Laboratories,Massachusetts Eye and Ear Infirmary,Boston,MA,USA [2]Deportment of Otolorynsolosy,Massachusetts Eye and Ear Infirmary,Harvard Medical School,Bostonf MAf USA
出 处:《World Journal of Otorhinolaryngology-Head and Neck Surgery》2021年第2期101-108,共8页世界耳鼻咽喉头颈外科杂志(英文)
摘 要:There has been a rapid increase in endoscopic ear surgery for the management of middle ear and lateral skull base disease in children and adults over the last decade.In this review paper,we discuss the current trends and applications of the endoscope in the field of otology and neurotology.Advantages of the endoscope include excellent ergonomics,compatibility with pediatric anatomy,and improved access to the middle ear through the external auditory canal.Transcanal endoscopic ear surgery has demonstrated comparable outcomes in the management of cholesteatoma,tympanic membrane perforations,and otosclerosis as compared to microscopic approaches,while utilizing less invasive surgical corridors and reducing the need for postauricular incisions.When a postauricular approach is required,the endoscopic-assisted transmastoid approach can avoid a canal wall down mastoidectomy in cases of cholesteatoma.The endoscope also has utility in treatment of superior canal dehiscence and various skull base lesions including glomus tumors,meningiomas,and vestibular schwannomas.Outside of the operating room,the endoscope can be used during examination of the outer and middle ear and for debridement of complex mastoid cavities.For these reasons,the endoscope is currently poised to transform the field of otology and neurotology.
关 键 词:Endoscopic ear surgery Transcanal endoscopic ear surgery Transmastoid endoscopic ear surgery Otoendoscopy OTOLOGY Neurotology
分 类 号:R764[医药卫生—耳鼻咽喉科]
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