Intraoperative endoscopy of the anterior epitympanum recess
through the posterior tympanotomy

Emilia B. Karchier; Kazimierz Niemczyk; Krzysztof F. Morawski; Robert Bartoszewicz; Adam Orłowski

doi:10.5114/wiitm.2016.61442

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2016
vol. 11

Send email

Copy url:

abstract:

Original paper

Intraoperative endoscopy of the anterior epitympanum recess through the posterior tympanotomy

Emilia B. Karchier

,

Kazimierz Niemczyk

,

Krzysztof F. Morawski

,

Robert Bartoszewicz

,

Adam Orłowski

Videosurgery Miniinv 2016; 11 (3): 208–213

DOI: https://doi.org/10.5114/wiitm.2016.61442

Online publish date: 2016/07/22

View full text Get citation

PlumX metrics:

Introduction: The anterior epitympanum recess (AER) is a common place of the development of the cholesteatoma, which is why removal of the matrix from this area plays a key role in the surgical treatment of chronic otitis media.

Aim: To evaluate the intraoperative visibility of AER in endoscopic optics in comparison to microscopic optics and to determine the prevalence of cholesteatoma in various types of construction of the AER. Study design: Retrospective analysis of intraoperative search.

Material and methods: The study included 55 patients treated in the Department of Otolaryngology, Medical University of Warsaw within the years 2009–2011, who underwent endoscopy-assisted canal wall up tympanoplasty with posterior tympanotomy. The type of construction of the AER – cellular or dome-shaped – was determined.

Results: Cellular type of recess was found intraoperatively in 32% of ears and dome-shaped in 68% of the study group. The population with chronic otitis media does not differ significantly compared to the general population in terms of the construction of the anterior epitympanum recess (p = 0.668108; χ² = 0.1838235, df = 1). Among the ears with cholesteatoma a cellular AER was found in 48.3% of cases and a dome-shaped AER was found in 51.7%.

Conclusions: The cellular type of AER was significantly more frequent in ears with cholesteatoma (p < 0.01, χ² = 29.86492, df = 1). Level of evidence: 1b.

keywords:

Intraoperative endoscopy of the anterior epitympanum recess through the posterior tympanotomy

Emilia B. Karchier , Kazimierz Niemczyk , Krzysztof F. Morawski , Robert Bartoszewicz , Adam Orłowski

middle ear, endoscopy, cholesteatoma, chronic otitis media

Emilia B. Karchier

,

Kazimierz Niemczyk

,

Krzysztof F. Morawski

,

Robert Bartoszewicz

,

Adam Orłowski