The Endomeatal Approach (ema) Subcortical Endomeatal Mastoidectomy with Integrated Cavity without Meatoplasty Semi-open Technique

Highligts A-Conditions for a good surgical approach A natural pathway should be used, taking advantage of this natural space to obtain access to the anatomical structures, without having to create a further surgical additional space. The approach should be as simple and direct as posssible. Healthy tissue should be respected to a maximum and further lesions should not be caused, beyond those caused by the pathology itself. It should provide access and control to all the compromised anatomy, since the cholesteatoma is an invasive pathology that involves the anatomical recesses. It should try to preserve the function of all the structures involved by the approach, and restore it at the same time.