Endoscopic Otosurgery for Congenital Cholesteatoma in Children

• Kobayashi Mayumi

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

• Seto Akira

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

• Seto Yukiko

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

• Shirasaka Etsuko

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

• Matsushima Koji

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

• Yasoshima Tadayuki

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

• Edamatsu Hideo

  Department of Otolaryngology, Omori Hospital, Toho University School of Medicine

Bibliographic Information

Other Title

• 内視鏡を用いた小児先天性真珠腫の手術

Abstract

Endoscope is very useful for otosurgery of congenital cholesteatoma in children, because endoscopic observation can give a full view to find residual cholesteatoma in the tympanic sinus or behind the ossicles or to avoid any injury of the important structures.<BR>In the middle ear, there is a region where microscopic observation is very difficult due to the anatomical feature. It is very dangerous to perform otosurgery without adequate observation of these structures.<BR>We experienced 7 children with congenital cholesteatoma in the past 6 years and obtained good results. We reported a case of the youngest one that was the most difficult to inspect througout the middle ear cavity.<BR>Disadvantage of endoscope was that otosurgeon has to hold an endoscope with the left hand and handle forceps or suction tube with the right. It might be difficult to handle endoscope and surgical tools together in the narrow external canal. We think that otosurgeon needs some experience for endoscopic operation.<BR>Our conclusion was that endoscope should be used in otosurgery of cholsteatoma in children to perform safe operation with a full view of the middle ear cavity and to avoid to overlook the residual lesions.

Journal

• Otology Japan

  Otology Japan 17 (5), 644-647, 2007

  Japan Otological Society

Keywords

• congenital cholesteatoma
• children
• endoscopic surgery

Details

• CRID: 1390001204769861888
• NII Article ID: 10021297748
• NII Book ID: AN10358085
• DOI: 10.11289/otoljpn1991.17.5_644
• ISSN: 18841457
• ISSN: 09172025
• Web Site: https://search.jamas.or.jp/link/ui/2008155639
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed