Endoscopic mastoid surgery is difficult to learn, performed in a tight space, and will probably never replace conventional open procedures. That’s the bad news. The good news is that it is a less invasive second-look procedure than conventional surgery, it is bone-sparing, and it can reduce the frequency with which an otolaryngologist does open repeat procedures.
Explore this issue:May 2007
In separate interviews with ENToday, two experts in endoscopic mastoid surgery discussed their experiences and their views on the place this approach has in mastoid surgery, and offered pearls that can help otolaryngologists and their surgical teams make a smooth transition to using endoscopy in mastoid procedures.
The endoscopic approach allows us to see around corners and use angled instruments that are not possible with the conventional approach, said Hamed Sajjadi, MD, in a phone interview. We reduce the amount of bone that is lost in a conventional resection, and we can even reduce the need for open procedures by as much as 70 percent. Dr. Sajjadi is Clinical Associate Professor of Otolaryngology-Head and Neck Surgery at Stanford University School of Medicine and has a private practice in San Jose, CA. He gave a presentation on endoscopic mastoid surgery at the 2006 annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery.1