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Endoskopik Otolojik Uygulamalar

Yıl 2018, Cilt: 40 Sayı: 2, 110 - 115, 27.02.2018
https://doi.org/10.20515/otd.304245

Öz




















Birçok cerrahi girişim mikroskop altında  iki el kullanılarak gerçekleştirilir. Son
yıllarda endoskopların kulak burun boğazda özellikle rinolojide yaygın olarak
kullanılması ve sağladığı avantajların ortaya konması, mikroskop altında
gerçekleştirilen cerrahilerde yaşanan sıkıntılarla birleşince, otolojide de
endoskopların giderek artan oranda cerrahi ekipmanın bir parçası haline gelmesi
kaçınılmaz olmuştur. Gün geçtikçe artan deneyimler ile otolojinin bir çok
uygulaması yalnızca endoskopik olarak geçekleştirilebilir hale gelmiştir.
Bununla birlikte endoskopların otolojik cerrahide yaygın olarak kullanılıyor
hale gelmesi, mikroskopların otolojinin önemli bir parçası olduğu gerçeğini
değiştirmeyeceği ve bu cerrahiyi gerçekleştirecek cerrahın bu konudaki öngörü
ve deneyiminin, ve uygulama merkezinin teknik olanaklarının halen çok önemli
belirleyiciler olduğu unutulmamalıdır.
Mezotimpanum, fasyal reses, sinüs timpani,
hipotimpanum, attik ve tuba östaki gibi kör noktaları mikroskoplarla
görüntülemek her zaman mümkün olamamaktadır. Bu kör noktalara endoskop ile
ulaşılması operasyonun transkanal yapılabilmesine, morbiditenin azaltılmasına ve
fizyolojinin korunmasına olanak sağlar. Orta kulağı aşmış kolesteatomlarda da
endoskoplar kullanılabilir. Bu raporda endoskopik kulak cerrahisi uygulama
alanları ve otolojik cerrahideki sağladığı avantajlar literatur bilgileri
eşliğinde tartışmak amaçlanmıştır. 

Kaynakça

  • 1. Tarabichi M. Endoscopic transkanal middle ear surgery. (2010) Indian J Otolaryngol Head Neck Surg 62:6-24.
  • 2. Presutti L. Marchioni D. Endoscopic Ear Surgery:Principles, indications and techniques. Thieme, 2015.
  • 3. James AL. (2013)Endoscopic middle ear surgery in children. Otolaryngol Clin North Am. 46:233-44.
  • 4. Lee FP. (2006)An alternative use of video-telescopic guidance for insertion of myringotomy tube. J Laryngol Otol. 120(2):e10.
  • 5. Sakagami M, Mishiro Y, Tsuzuki K, Seo T, Sone M. (2000) Bilateral same day surgery for bilateral perforated chronic otitis media. Auris Nasus Larynx. 27(1):35-8.
  • 6. Awad OG, Hamid KA. (2015)Endoscopic type 1 tympanoplasty in pediatric patients using tragal cartilage. JAMA Otolaryngol Head Neck Surg.141(6):532-8. doi: 10.1001/jamaoto.2015.0601.
  • 7. Usami S, Iijima N, Fujita S, Takumi Y. (2001) Endoscopic-assisted myringoplasty. ORL J Otorhinolaryngol Relat Spec. 63(5):287-90.
  • 8. Sürmelioğlu Ö, Özdemir S, Tarkan Ö, Tuncer Ü. (2014) [Transcanal endoscopic tympanoplasty in the treatment of chronic otitis media]. Kulak Burun Bogaz Ihtis Derg. 24(6):330-3.
  • 9. Ayache S. (2013) Cartilaginous myringoplasty: the endoscopic transcanal procedure. Eur Arch Otorhinolaryngol. 270(3):853-60.
  • 10. Tomlin J, Chang D, McCutcheon B, Harris J. (2013) Surgical technique and recurrence in cholesteatoma: a meta-analysis. Audiol Neurootol. 18(3):135-42.
  • 11. Ayache S, Tramier B, Strunski V. (2008) Otoendoscopy in cholesteatoma surgery of the middle ear: what benefits can be expected? Otol Neurotol.29(8):1085-90
  • 12. Tarabichi M. (2010) Transcanal endoscopic management of cholesteatoma. Otol Neurotol. 31(4):580-8.
  • 13. Kanzara T, Virk JS, Chawda S, Owa AO. (2014) Wholly endoscopic permeatal removal of a petrous apex cholesteatoma. Case Rep Otolaryngol. 184;230.
  • 14. Hunter JB, Zuniga MG, Sweeney AD, Bertrand NM, Wanna GB, Haynes DS, Wootten CT, Rivas A. (2016) Pediatric Endoscopic Cholesteatoma Surgery. Otolaryngol Head Neck Surg. pii: 0194599816631941. [Epub ahead of print]
  • 15. Miuchi S, Sakagami M, Tsuzuki K, Noguchi K, Mishiro Y, Katsura H. (2009) Taste disturbance after stapes surgery – clinical and experimental study. Acta Otolaryngol Suppl. 562:71–78.
  • 16. Migirov L, Shapira Y, Horowitz Z, Wolf M. (2011) Exclusive endoscopic ear surgery for acquired cholesteatoma. Otol Neurotol. 32:433–436.
  • 17. Kojima H, Komori M, Chikazawa S, Yaguchi Y, Yamamoto K, Chujo K. et al. (2014) Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 124:266–271.
  • 18. Sarkar S, Banerjee S, Chakravarty S, Singh R, Sikder B, Bera SP. (2013) Endoscopic stapes surgery: Our experience in thirty two patients. Clin Otolaryngol 38:157–160.
  • 19. Naik C, Nemade S. (2014) Endoscopic stapedotomy: our view point. Eur Arch Otorhinolaryngol. [Epub ahead of print].
  • 20. Presutti L, Nogueira JF, Alicandri-Ciufelli M, Marchioni D. (2013) Beyond the middle ear: endoscopic surgical anatomy and approaches to inner ear and lateral skull base. Otolaryngol Clin North Am. 46(2):189-200.

Endocopic Otologic Applications

Yıl 2018, Cilt: 40 Sayı: 2, 110 - 115, 27.02.2018
https://doi.org/10.20515/otd.304245

Öz

The recent
findings on the advantages of endoscopes and the limitations of the microscopic
surgeries inevitably made the endoscopes one of the most important instruments
of the surgical equipment of the otology. With the gained experience, nowadays,
it is possible to perform many of the otologic procedures solely by endoscopes.
However, common usage of endoscopes in the otologic surgeries should not efface
the fact that the microscopes are an important part of the otology. In
addition, the prescience and the experience of the surgeon on the endoscopic
otologic surgery and the technical sufficiency of the medical center should be
considered as other significant factors. Hidden areas such as mesotympanum,
facial recess, sinus tympani, hypotympanum, attic and Eustachian tube are not
always possible to view with a microscope. Reaching to these hidden areas with
endoscope allows to be able to do transcanal surgery, to reduce morbidity and
to preserve the physiology. The endoscopes can also be used in cholesteatoma
that beyond the middle ear. But learning period of endoscopic surgery is
slightly longer and requires experience. In this review, discussing the
advantages of endoscopic ear surgery and clinical applications of the
endoscopic ear surgery were aimed under literatures. 

Kaynakça

  • 1. Tarabichi M. Endoscopic transkanal middle ear surgery. (2010) Indian J Otolaryngol Head Neck Surg 62:6-24.
  • 2. Presutti L. Marchioni D. Endoscopic Ear Surgery:Principles, indications and techniques. Thieme, 2015.
  • 3. James AL. (2013)Endoscopic middle ear surgery in children. Otolaryngol Clin North Am. 46:233-44.
  • 4. Lee FP. (2006)An alternative use of video-telescopic guidance for insertion of myringotomy tube. J Laryngol Otol. 120(2):e10.
  • 5. Sakagami M, Mishiro Y, Tsuzuki K, Seo T, Sone M. (2000) Bilateral same day surgery for bilateral perforated chronic otitis media. Auris Nasus Larynx. 27(1):35-8.
  • 6. Awad OG, Hamid KA. (2015)Endoscopic type 1 tympanoplasty in pediatric patients using tragal cartilage. JAMA Otolaryngol Head Neck Surg.141(6):532-8. doi: 10.1001/jamaoto.2015.0601.
  • 7. Usami S, Iijima N, Fujita S, Takumi Y. (2001) Endoscopic-assisted myringoplasty. ORL J Otorhinolaryngol Relat Spec. 63(5):287-90.
  • 8. Sürmelioğlu Ö, Özdemir S, Tarkan Ö, Tuncer Ü. (2014) [Transcanal endoscopic tympanoplasty in the treatment of chronic otitis media]. Kulak Burun Bogaz Ihtis Derg. 24(6):330-3.
  • 9. Ayache S. (2013) Cartilaginous myringoplasty: the endoscopic transcanal procedure. Eur Arch Otorhinolaryngol. 270(3):853-60.
  • 10. Tomlin J, Chang D, McCutcheon B, Harris J. (2013) Surgical technique and recurrence in cholesteatoma: a meta-analysis. Audiol Neurootol. 18(3):135-42.
  • 11. Ayache S, Tramier B, Strunski V. (2008) Otoendoscopy in cholesteatoma surgery of the middle ear: what benefits can be expected? Otol Neurotol.29(8):1085-90
  • 12. Tarabichi M. (2010) Transcanal endoscopic management of cholesteatoma. Otol Neurotol. 31(4):580-8.
  • 13. Kanzara T, Virk JS, Chawda S, Owa AO. (2014) Wholly endoscopic permeatal removal of a petrous apex cholesteatoma. Case Rep Otolaryngol. 184;230.
  • 14. Hunter JB, Zuniga MG, Sweeney AD, Bertrand NM, Wanna GB, Haynes DS, Wootten CT, Rivas A. (2016) Pediatric Endoscopic Cholesteatoma Surgery. Otolaryngol Head Neck Surg. pii: 0194599816631941. [Epub ahead of print]
  • 15. Miuchi S, Sakagami M, Tsuzuki K, Noguchi K, Mishiro Y, Katsura H. (2009) Taste disturbance after stapes surgery – clinical and experimental study. Acta Otolaryngol Suppl. 562:71–78.
  • 16. Migirov L, Shapira Y, Horowitz Z, Wolf M. (2011) Exclusive endoscopic ear surgery for acquired cholesteatoma. Otol Neurotol. 32:433–436.
  • 17. Kojima H, Komori M, Chikazawa S, Yaguchi Y, Yamamoto K, Chujo K. et al. (2014) Comparison between endoscopic and microscopic stapes surgery. Laryngoscope 124:266–271.
  • 18. Sarkar S, Banerjee S, Chakravarty S, Singh R, Sikder B, Bera SP. (2013) Endoscopic stapes surgery: Our experience in thirty two patients. Clin Otolaryngol 38:157–160.
  • 19. Naik C, Nemade S. (2014) Endoscopic stapedotomy: our view point. Eur Arch Otorhinolaryngol. [Epub ahead of print].
  • 20. Presutti L, Nogueira JF, Alicandri-Ciufelli M, Marchioni D. (2013) Beyond the middle ear: endoscopic surgical anatomy and approaches to inner ear and lateral skull base. Otolaryngol Clin North Am. 46(2):189-200.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm DERLEMELER / REVIEWS
Yazarlar

Özgür Sürmelioğlu

Muhammed Dağkıran

Yayımlanma Tarihi 27 Şubat 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 40 Sayı: 2

Kaynak Göster

Vancouver Sürmelioğlu Ö, Dağkıran M. Endoskopik Otolojik Uygulamalar. Osmangazi Tıp Dergisi. 2018;40(2):110-5.


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