시험적 고실개방술의 임상 및 내시경의 의의
Clinical Characteristics of Exploratory Tympanotomy and Role of Otoendoscope
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Background：Exploratory tympanotomy is a challenging surgical technique for otologic surgery. Despite this technique is quite easy, it is often impossible to get the accurate diagnosis with microscopic approach for the beginners. Otoendoscope is a good diagnostic tool for the diagnosis of hidden pathology of the middle ear. We used the otoendoscope for the exploratory tympanotomy in patients with conductive hearing loss. Methods：We analyzed 37 cases of exploratory tympanotomies for conductive hearing loss carried out by a single surgeon. Results：The most common operative diagnosis was otosclerosis (n=10, 27.2%). Hearing was improved with 26 cases out of 28 cases (92.9%) with endoscopic group) whereas 4 out of 9 cases (44.4%) improved with non-endoscope group. Conclusions：Otoendoscope might be very useful instrument for the accurate diagnosis and treatment in exploratory tympanotomy surgery for conductive hearing loss with intact tympanic membrane.
Abstract
Background：Exploratory tympanotomy is a challenging surgical technique for otologic surgery. Despite this technique is quite easy, it is often impossible to get the accurate diagnosis with microscopic approach for the beginners. Otoendoscope is a good diagnostic tool for the diagnosis of hidden pathology of the middle ear. We used the otoendoscope for the exploratory tympanotomy in patients with conductive hearing loss. Methods：We analyzed 37 cases of exploratory tympanotomies for conductive hearing loss carried out by a single surgeon. Results：The most common operative diagnosis was otosclerosis (n=10, 27.2%). Hearing was improved with 26 cases out of 28 cases (92.9%) with endoscopic group) whereas 4 out of 9 cases (44.4%) improved with non-endoscope group. Conclusions：Otoendoscope might be very useful instrument for the accurate diagnosis and treatment in exploratory tympanotomy surgery for conductive hearing loss with intact tympanic membrane.
참고문헌 (20)
- Hopp ES., "Tympanotomy: exploratory “laparotomy” of the middle ear", Calif Med, 91, pp.143~145 (1959)
- Gerlings PG., "Exploratory tympanotomy", Ned Tijdschr Geneeskd, 106, pp.2~5 (1962)
- Robertson G, "Findings at exploratory tympanotomy for conductive hearing loss", J Laryngol Otol, 123, pp.1087~1089 (2009)
- Lee I, "Application of Endoscope in Otologic Field.", J Clinical Otolaryngol, 19, pp.51~56 (2008)
- Lee I, "Usefulness of otoendoscopein chronic otitis media", J Clinical Otolaryngol, 20, pp.176~181 (2009)
- Gu Z, "The application of transmeatal exploratory tympanotomy", Lin Chuang Er Bi Yan Hou Ke Za Zhi, 11, pp.51~53 (1997)
- Kampfner D, "Analysis of 101 patients with severe to profound sudden unilateral hearing loss treated with explorative tympanotomy and sealing of the round window membrane", Eur Arch Otorhinolaryngol, 271, pp.2145~2152 (2014)
- Can IH, "Sudden hearing loss due to large vestibular aqueduct syndrome in a child:should exploratory tympanotomy be performed?", Int J Pediatr Otorhinolaryngol, 68, pp.841~844 (2004)
- Goycoolea MV, "Exploratory tympanotomy:an integral part of cochlear implantation", Acta Otolaryngol, 123, pp.223~226 (2003)
- Maier W, "Results of exploratory tympanotomy following sudden unilateral deafness and its effects on hearing restoration", Ear Nose Throat J, 87, pp.438~451 (2008)
- Dawes PJ, "Tympanomastoidectomy: planned second-look tympanotomy", J Otolaryngol Head Neck Surg, 38, pp.311~317 (2009)
- Dawes PJ, "Paediatric small cavity mastoid surgery: second look tympanotomy", Int J Pediatr Otorhinolaryngol, 68, pp.143~148 (2004)
- Bottrill ID, "Endoscope-assisted ear surgery", Am J Otol, 16, pp.158~163 (1995)
- Zhang X, "Otoendoscope in the assistant treatment of chronic suppurative otitis media", Hunan Yi Ke Da Xue Xue Bao, 24, pp.483~484 (1999)
- Miyazaki H, "Neuro-otologic surgery through minimally invasive retrosigmoid approach: endoscope assisted microvascular decompression, vestibular neurotomy, and tumor removal", Laryngoscope, 115, pp.1612~1617 (2005)
- Ghaffar S, "Incorporating the endoscope into middle ear surgery", Ear Nose Throat J, 85, pp.593~596 (2006)
- Kanzaki S, "A new device for delivering drugs into the inner ear: otoendoscope with microcatheter", Auris Nasus Larynx, 39, pp.208~201 (2012)
- Olszewski J, "The value of exploratory anterior tympanotomy in differentiating causes of conductive hearing loss and assessment of their treatment results", Otolaryngol Pol, 56, pp.5~9 (2002)
- eyakumar A, "Exploratory tympanotomy revealing incus discontinuity and stapedial otosclerosis as a cause of conductive hearing loss", Otol Neurotol, 27, pp.466~468 (2006)
- 박기현, "정상고막을 가진 선천성 이소골 기형", 대한이비인후과학회지 두경부외과학, 45(10), pp.952~956 (2002), 대한이비인후과학회