Rationale for Endoscopic Ear Surgery
In clear contrast to the impact of the introduction of endoscope in most surgical disciplines, the practice of ear surgery has changed little and it continues to be the domain for the microscope. Depending on the task at hand, there are many distinctions that would make the endoscope a better instrument than the microscope and vice versa. We all need to master working with both instruments to better understand and treat pathologies of the ear. The objective of this group and this web site is to neutralize these longstanding biases toward the microscope and to get all of us to use the best instrument in the best way possible to help our patients.
The ability to place the surgeons eyes within the ear cavity using angled endoscopes, allows the operator a contextual understanding of the anatomy that is difficult to match using the microscope. The disease/ anatomical interface is better appreciated. This improved anatomical understanding, in turn provides confidence in surgical procedures both endoscopically and microscopically.
When compared to the microscope, two distinct advantages are present with the endoscope.
- The Objective lens is placed within the ear canal or middle ear, which allows for an all-encompassing contextual view of the disease/ anatomy interface. In contrast, the traditional microscopic method relies on removal of significant amounts of normal bone and soft tissue, often with removal of intact structures to fully observe the disease extent.
- The live image used by the surgeon is the same one that everyone else in the operating room is observing. This simultaneous viewing significantly increases engagement, teaching opportunities and interest in the surgical procedure from all present in the OR.
The use of the endoscope enables the surgeon to visualize past the shaft of larger surgical instruments, such as drills and curettes, and allows better visualization of anatomical structures.
To view the up to date research on Endoscopic Ear Surgery, please visit the link below.
endoscopy ear
- Triportal approach: endoscopic transorbital, transnasal and robotic transoral excision of parapharyngeal liposarcoma May 14, 2025A parapharyngeal space (PPS) tumor is a rare head and neck tumor. The choice of approach depends on the location, pathology, extent of invasion, and relationship with surrounding neurovascular structures. In this video, a PPS tumor was resected using a triportal approach: endoscopic transorbital, robotic transoral, and endoscopic transnasal surgery. Neurosurgeons, otorhinolaryngologists, and ophthalmologists jointly […]Ben Chat Fong Ng
- A Rare Case of Post-Intubation Cricoid Cartilage Abscess: Diagnosis and Therapeutic Approach May 10, 2025We report a life-threatening post-intubation cricoid abscess in a 29-year-old diabetic male, highlighting the challenges of airway compromise management. Following 7 days of mechanical ventilation for severe pneumonia, the patient developed acute dysphonia, inspiratory stridor, and progressive dyspnea culminating in resting respiratory distress (ambulationMajd Werda
- Malposition of a nasogastric tube into the middle ear of a premature one week old infant May 9, 2025A significant number of pediatric patients require a nasogastric tube (NGT) during their hospital stay for indications including nutrition support, medication delivery and decompression of the gastrointestinal tract. As such NGT placement is commonly performed; however, misplacement can occur into other anatomic sites within proximity.Primary DiagnosisWe report a first in the literature case of NGT […]Abeer Alali
- Incidence of nasal rhinosporidiosis in the UK May 5, 2025Rhinosporidiosis is a chronic granulomatous disease mainly affecting the nasal cavity and nasopharynx. It is an endemic disease in South India. Its incidence in the UK is very low. In this case report, a male patient presented with a 6-month history of foreign body sensation and feeling of a lump in the right nostril with […]Haseena Delim
- Laparoscopic and robotic ultralow sphincter-saving operation and intersphincteric resection for rectal cancer:prevention and management for major complications April 24, 2025In laparoscopic and robot-assisted ultra-low sphincter-saving surgeries for rectal cancer, preserving sexual function, preventing anastomotic leakage, anastomotic stricture, and low anterior resection syndrome (LARS) is critical to ensuring a good postoperative quality of life. The primary strategy for preventing postoperative sexual dysfunction is the meticulous preservation of the autonomic nerves, particularly the neurovascular bundles in […]P Chi
- Diode Laser Epiglottidectomy (DLE) for management of epiglottic disease in 35 dogs April 5, 2025Veterinary literature on epiglottic disorders and their treatment in dogs is limited. The objective of this study is to report the clinical features, diagnosis, surgical treatment, and outcomes of dogs with epiglottic conditions treated using diode laser epiglottidectomy (DLE). This was a single-institution observational prospective study. Thirty-five dogs diagnosed with epiglottic disease underwent DLE. In […]Davide De Lorenzi
- Outcomes of ear endoscopic surgery for petrous bone cholesteatoma April 3, 2025This study aimed to explore the surgical strategies and outcomes of petrosal bone cholesteatoma (PBC) surgery under ear endoscope. A retrospective analysis was conducted on the clinical data of PBC patients who underwent endoscopic surgery for PBC and were followed-up for≥1 year at West China Hospital, Sichuan University, from January 2017 to January 2024. The […]B Li
- Adenoid hypertrophy detection inventory in children for primary care physicians and pediatricians April 2, 2025CONCLUSION: This user-friendly and highly accurate inventory aids in predicting obstruction degree in patients. Primary care physicians and pediatricians can effectively manage follow-up and treatment, referring cases requiring surgery to an ENT specialist based on the inventory results.Fatih Kurt
- Endoscopic Malleostapedotomy in Primary Stapes Surgery: Preliminary Results April 1, 2025CONCLUSIONS: Endoscopic malleostapedotomy as a primary intervention is a safe and reliable procedure and is a technique of choice in selected cases of stapes fixation with incus anomaly.Zixuan Zhao
- Endoscopic Approach for Tympanostomy Tube Insertion in Patients With Trisomy 21 April 1, 2025Otitis media with effusion (OME) is common in children with Down syndrome (DS), affecting 93% of children by age 1 year and 68% of children by age 8 years ( 1,2 ). Resultant conductive hearing loss is present in up to 80% of children with DS and OME, making prompt treatment imperative to prevent adverse […]Danielle R Larrow