Inside-Out Transcanal Endoscopic Mastoidectomy: Literature Revision

dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBESSA, Renan Goncalves
dc.contributor.authorTSUJI, Robinson Koji
dc.date.accessioned2023-10-30T14:56:24Z
dc.date.available2023-10-30T14:56:24Z
dc.date.issued2023
dc.description.abstractIntroduction Recently, there have been significant advancements in transcanal endoscopic ear surgery (TEES). The combination of rigid and thin otoendoscopes with high-definition cameras enabled a less invasive transcanal access to the middle ear and a clearer view of the surgical field. Several surgeons have recently published studies about cholesteatoma resection via transcanal endoscopic surgery, even in cases where the disease has extended to the mastoid, requiring transcanal endoscopic mastoidectomy. Objectives To analyze the currently available literature on transcanal endoscopic inside-out mastoidectomy, and to determine its efficacy as a surgical technique by evaluating the disease's relapse/recurrence rate. Data Synthesis Initially, the titles and abstracts of articles identified were analyzed. At this stage, 117 articles were analyzed, 97 of which were excluded for not meeting the inclusion criteria. The 20 remaining articles were further evaluated. The articles were classified on the basis of five levels of scientific evidence. Final Comments The analysis of the studies showed that the transcanal endoscopic approach is effective in providing access to the attic or antrum, especially in cases of sclerotic mastoids. There was only one study with grade A recommendation, which showed the efficacy of endoscopic ear surgery in the treatment of cholesteatoma. Furthermore, there were three studies with grade B recommendation, showing less relapse/recurrence after TEES. More studies with grade A and B recommendations are needed to better evaluate the effectiveness of TEES, especially compared with that of traditional microscopic surgery.eng
dc.description.indexPubMed
dc.description.indexWoS
dc.identifier.citationINTERNATIONAL ARCHIVES OF OTORHINOLARYNGOLOGY, v.27, n.2, p.E370-E376, 2023
dc.identifier.doi10.1055/s-0043-1768202
dc.identifier.eissn1809-4864
dc.identifier.issn1809-9777
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/56315
dc.language.isoeng
dc.publisherGEORG THIEME VERLAG KGeng
dc.relation.ispartofInternational Archives of Otorhinolaryngology
dc.rightsopenAccesseng
dc.rights.holderCopyright GEORG THIEME VERLAG KGeng
dc.subjectgradeeng
dc.subjectendoscopiceng
dc.subjectrecommendationeng
dc.subjectcholesteatomaeng
dc.subjectotologyeng
dc.subjectneurotologyeng
dc.subject.otherear surgeryeng
dc.subject.othermanagementeng
dc.subject.othercholesteatomaeng
dc.subject.wosOtorhinolaryngologyeng
dc.titleInside-Out Transcanal Endoscopic Mastoidectomy: Literature Revisioneng
dc.typearticleeng
dc.type.categoryrevieweng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalBESSA, Renan Goncalves:Univ Sao Paulo, Dept Otorhinolaryngol, Fac Med, Sao Paulo, Brazil
hcfmusp.contributor.author-fmusphcROBINSON KOJI TSUJI
hcfmusp.description.beginpageE370
hcfmusp.description.endpageE376
hcfmusp.description.issue2
hcfmusp.description.volume27
hcfmusp.origemWOS
hcfmusp.origem.pubmed37125367
hcfmusp.origem.scieloSCIELO:S1809-48642023000200370
hcfmusp.origem.wosWOS:001047481800027
hcfmusp.publisher.citySTUTTGARTeng
hcfmusp.publisher.countryGERMANYeng
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