Endoscopic Cholesteatoma Surgery

Implementation of endoscopes in cholesteatoma surgery resulted considerable changes the management last two decades. Compared to microscopic approach with an excellent but straight-line view and limited illumination, introduction provides a wide-angled panoramic view. Moreover, angled lenses allow surgeon visualize middle ear its hidden recesses through transcanal, minimally-invasive approach. The endoscope enables remove using exclusive endoscopic technique by taking advantage these benefits. This reduces rate residual disease sparing external incisions excessive temporal bone drilling as transmastoid Since transcanal access is mainly one-handed technique, it implies need for specific procedures technical refinements. article describes step-by-step guide surgical manual removal epitympanic cholesteatoma. Different techniques dissection epitympanectomy, including curettage powered instruments such drills ultrasonic devices their outcomes, are discussed. may offer surgeons insight into refinements latest technological developments open horizon different techniques.