How cost- and clinically effective is the use of endoscopes during cholesteatoma surgery to reduce recurrence rates and cost?
Intraoperative endoscopic surveillance reduced recurrence, was particularly useful in evaluating the epitympanum, mesotympanum, sinus tympani, and supratubal air cells, and had significant cost savings.
Explore this issue:December 2018
Background: The goal of cholesteatoma surgery is to completely eradicate the disease and create a safe ear, where cholesteatoma is unlikely to recur. Using current microscopic techniques, recurrence rates for cholesteatoma range from 20% to 50% and occur almost exclusively in the middle ear space. Endoscope use allows surgeons to visualize difficult-to-access regions.
Study design: Case series of 110 consecutive cholesteatoma patients over a two-year period.