A volumetric three-dimensional evaluation of invasiveness of an endoscopic and microscopic approach for transmeatal visualisation of the middle ear.

Autor:	Baazil AHA; Department of Otorhinolaryngology, Amsterdam, The Netherlands., Dobbe JGG; Department of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., van Spronsen E; Department of Otorhinolaryngology, Amsterdam, The Netherlands., Ebbens FA; Department of Otorhinolaryngology, Amsterdam, The Netherlands., Dikkers FG; Department of Otorhinolaryngology, Amsterdam, The Netherlands., Streekstra GJ; Department of Biomedical Engineering and Physics, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., de Wolf MJF; Department of Otorhinolaryngology, Amsterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	The Journal of laryngology and otology [J Laryngol Otol] 2021 May; Vol. 135 (5), pp. 410-414. Date of Electronic Publication: 2021 Apr 22.
DOI:	10.1017/S0022215121000293
Abstrakt:	Objective: This study aimed to compare the necessary scutum defect for transmeatal visualisation of middle-ear landmarks between an endoscopic and microscopic approach. Method: Human cadaveric heads were used. In group 1, middle-ear landmarks were visualised by endoscope (group 1 endoscopic approach) and subsequently by microscope (group 1 microscopic approach following endoscopy). In group 2, landmarks were visualised solely microscopically (group 2 microscopic approach). The amount of resected bone was evaluated via computed tomography scans. Results: In the group 1 endoscopic approach, a median of 6.84 mm3 bone was resected. No statistically significant difference (Mann-Whitney U test, p = 0.163, U = 49.000) was found between the group 1 microscopic approach following endoscopy (median 17.84 mm3) and the group 2 microscopic approach (median 20.08 mm3), so these were combined. The difference between the group 1 endoscopic approach and the group 1 microscopic approach following endoscopy plus group 2 microscopic approach (median 18.16 mm3) was statistically significant (Mann-Whitney U test, p < 0.001, U = 18.000). Conclusion: This study showed that endoscopic transmeatal visualisation of middle-ear landmarks preserves more of the bony scutum than a microscopic transmeatal approach.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu