Comparison of the Clinical Results of Attic Cholesteatoma Treatment: Endoscopic Versus Microscopic Ear Surgery

• Main Authors: Mi Rye Bae, Woo Seok Kang, Jong Woo Chung
• Format: Article
• Language: English
• Published: Korean Society of Otorhinolaryngology-Head and Neck Surgery 2019-05-01
• Series: Clinical and Experimental Otorhinolaryngology
• Subjects: Endoscopy; Cholesteatoma; Otitis Media; Surgery; Hearing; Recurrence
• Online Access: http://www.e-ceo.org/upload/pdf/ceo-2018-00507.pdf

Objectives We aimed to compare clinical outcomes including hearing improvement and cholesteatoma recurrence between endoscopic and conventional microscopic surgeries in patients with attic cholesteatoma. Methods We collected data from patients with attic cholesteatoma who were treated using endoscopic (10 patients) and microscopic (10 patients) approaches by a single surgeon. The data were retrospectively reviewed for patient characteristics, intraoperative findings, hearing levels, and follow-up clinical status. Recurrence of the cholesteatoma, improvement of hearing, and operation time were evaluated. Results Ossiculoplasty was performed in four patients in the endoscopic group and two patients in the microscopic group. Lempert endaural incision II was used in all the patients in the microscopic group, whereas Lempert I incision was used in all the patients in the endoscopic approach group. There were no significant differences between the two groups regarding hearing improvement and operating time. And, there were no recurrences during the follow-up period in both groups. Conclusion The endoscopic approach for the management of attic cholesteatoma is as useful as the microscopic approach.