외이도 피부절개 없는 하이브리드 후이개접근법
Hybrid Retroauricular Approach Without Ear Canal Skin Incision
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The majority of tympanoplasty procedures have been performed using the retroauricular ap-proach to improve visualisation of the anterior tympanic membrane. The classic retroauricularapproach requires elevation of the Körner flap and tympano-meatal flap through the ear canalskin incision. This step can lead to the exposure of the bones in the ear canal, resulting in de-layed wound healing and pain, especially in elderly or immunocompromised patients. Endo-scopic ear surgery is a minimally invasive procedure that offers a wider field of view, but hasthe disadvantage of being a one-handed operation and cannot avoid skin incisions in the earcanal for tympanoplasty. Here we present a hybrid retroauricular approach without skin inci-sion of the ear canal, using both microscope and endoscope. This method provides very fastwound healing and significantly less pain.
Abstract
The majority of tympanoplasty procedures have been performed using the retroauricular ap-proach to improve visualisation of the anterior tympanic membrane. The classic retroauricularapproach requires elevation of the Körner flap and tympano-meatal flap through the ear canalskin incision. This step can lead to the exposure of the bones in the ear canal, resulting in de-layed wound healing and pain, especially in elderly or immunocompromised patients. Endo-scopic ear surgery is a minimally invasive procedure that offers a wider field of view, but hasthe disadvantage of being a one-handed operation and cannot avoid skin incisions in the earcanal for tympanoplasty. Here we present a hybrid retroauricular approach without skin inci-sion of the ear canal, using both microscope and endoscope. This method provides very fastwound healing and significantly less pain.
참고문헌 (6)
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- Gersdorff MC, "Tympanoplasty without skin incision of the external auditory canal", Laryngoscope, 112(8 Pt 1), pp.1507~1508 (2002)
- Akyigit A, "Endoscopic tympanoplasty", J Otol, 12(2), pp.62~67 (2017)
- Kakehata S, "Comparison of postoperative pain in patients following transcanal endoscopic versus microscopic ear surgery", Otol Neurotol, 39(7), pp.847~853 (2018)
- Poupore NS, "Tympanoplasty with and without mastoidectomy for chronic otitis media without cholesteatoma : A systematic review and meta-analysis", Otol Neurotol, 43(8), pp.864~873 (2022)
- Kartush JM, "Overunder tympanoplasty", Laryngoscope, 112(5), pp.802~807 (2002)