Download PDF
CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2023; 27(04): e713-e722
DOI: 10.1055/s-0042-1759577
Original Research

Acceptance of Endoscopes in Otology – An Indian Perspective and Review of the Literature

Raman Sharma 
1   Department of ENT and Head and Neck Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India
,
Ravi Meher 
1   Department of ENT and Head and Neck Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India
,
Vikram Wadhwa 
1   Department of ENT and Head and Neck Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India
,
Sanjay Vikram Soni 
1   Department of ENT and Head and Neck Surgery, Lok Nayak Hospital, Maulana Azad Medical College, New Delhi, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Introduction The role of endoscopes in the ear, nose, and throat (ENT) field has been described since the 1980s; It started with endoscopic nasal surgeries, followed by otological and laryngological procedures, and, since then, it has experienced a rapid evolution. Endoscopes help otologists understand how to approach difficult areas of middle ear, as well as the physiology of middle ear cleft.

Objectives Despite the introduction of endoscopes in the field of otology, microscopes are still widely used in clinics and in operation theaters either alone or with endoscopes. The present study, which was conducted amongst otologists in India, is on their experience with and knowledge of the use of the endoscope compared to microscopes.

Methods A Google form-based questionnaire comprising 18 questions was developed and sent online to otologist all over the country. The final dataset included responses from 354 active otologists.

Results Out of 354 participants, only 3% had more than 5 years of experience in endoscopic ear surgery (EES), and 16.1% had never worked with an endoscope. Endoscopes were used in clinics and in operation theaters by 74.9% of the participants.

Conclusion There has been a rise in the acceptance and use of endoscopes among Indian otologists and otology surgeons in last few decades.

Keywords

endoscope - otology - ear surgery - microscopes


Publication History

Received: 30 July 2022

Accepted: 14 September 2022

Article published online:
29 March 2023

© 2023. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Hopkins H, Kapany N. A flexible fibrescope, using static scanning. Nature 1954; 173: 39-41
    CrossrefGoogle Scholar
  • 2 Mer SB, Derbyshire AJ, Brushenko A, Pontarelli DA. Fiberoptic endotoscopes for examining the middle ear. Arch Otolaryngol 1967; 85 (04) 387-393
    CrossrefPubMedGoogle Scholar
  • 3 Nomura Y. Effective photography in otolaryngology-head and neck surgery: endoscopic photography of the middle ear. Otolaryngol Head Neck Surg 1982; 90 (04) 395-398
    CrossrefPubMedGoogle Scholar
  • 4 Takahashi H, Honjo I, Fujita A, Kurata K. Transtympanic endoscopic findings in patients with otitis media with effusion. Arch Otolaryngol Head Neck Surg 1990; 116 (10) 1186-1189
    CrossrefPubMedGoogle Scholar
  • 5 Rosenberg SI, Silverstein H, Hoffer M, Nichols M. Use of endoscopes for chronic ear surgery in children. Arch Otolaryngol Head Neck Surg 1995; 121 (08) 870-872
    CrossrefPubMedGoogle Scholar
  • 6 McKennan KX. Endoscopic 'second look' mastoidoscopy to rule out residual epitympanic/mastoid cholesteatoma. Laryngoscope 1993; 103 (07) 810-814
    CrossrefPubMedGoogle Scholar
  • 7 Takahashi H, Honjo I, Fujita A. Endoscopic findings at the pharyngeal orifice of the eustachian tube in otitis media with effusion. Eur Arch Otorhinolaryngol 1996; 253 (1-2): 42-44
    CrossrefPubMedGoogle Scholar
  • 8 Poe DS, Pyykkö I, Valtonen H, Silvola J. Analysis of eustachian tube function by video endoscopy. Am J Otol 2000; 21 (05) 602-607
    Google Scholar
  • 9 Klug C, Fabinyi B, Tschabitscher M. Endoscopy of the middle ear through the eustachian tube: anatomic possibilities and limitations. Am J Otol 1999; 20 (03) 299-303
    Google Scholar
  • 10 Randrup TS, Ovesen T. Balloon eustachian tuboplasty: a systematic review. Otolaryngol Head Neck Surg 2015; 152 (03) 383-392
    CrossrefPubMedGoogle Scholar
  • 11 Marchioni D, Molteni G, Presutti L. Endoscopic anatomy of the middle ear. Indian J Otolaryngol Head Neck Surg 2011; 63 (02) 101-113
    CrossrefPubMedGoogle Scholar
  • 12 Anschuetz L, Huwendiek S, Stricker D, Yacoub A, Wimmer W, Caversaccio M. Assessment of Middle Ear Anatomy Teaching Methodologies Using Microscopy versus Endoscopy: A Randomized Comparative Study. Anat Sci Educ 2019; 12 (05) 507-517
    CrossrefPubMedGoogle Scholar
  • 13 Bowdler DA, Walsh RM. Comparison of the otoendoscopic and microscopic anatomy of the middle ear cleft in canal wall-up and canal wall-down temporal bone dissections. Clin Otolaryngol Allied Sci 1995; 20 (05) 418-422
    CrossrefPubMedGoogle Scholar
  • 14 Karhuketo TS, Puhakka HJ, Laippala PJ. Endoscopy of the middle ear structures. Acta Otolaryngol Suppl 1997; 529: 34-39
    CrossrefPubMedGoogle Scholar
  • 15 MacKeith SA, Frampton S, Pothier DD. Thermal properties of operative endoscopes used in otorhinolaryngology. J Laryngol Otol 2008; 122 (07) 711-714
    CrossrefPubMedGoogle Scholar
  • 16 Cohen MS, Landegger LD, Kozin ED, Lee DJ. Pediatric endoscopic ear surgery in clinical practice: Lessons learned and early outcomes. Laryngoscope 2016; 126 (03) 732-738
    CrossrefPubMedGoogle Scholar
  • 17 Kiringoda R, Kozin ED, Lee DJ. Outcomes in endoscopic ear surgery. Otolaryngol Clin North Am 2016; 49 (05) 1271-1290
    CrossrefPubMedGoogle Scholar
  • 18 Kozin ED, Daniel JL. Basic principles of endoscopic ear surgery. Oper. Tech.Otolaryngol 2017; 28: 2-10
    CrossrefGoogle Scholar
  • 19 Kozin ED, Gulati S, Kaplan AB. et al. Systematic review of outcomes following observational and operative endoscopic middle ear surgery. Laryngoscope 2015; 125 (05) 1205-1214
    CrossrefPubMedGoogle Scholar
  • 20 Choi N, Noh Y, Park W. et al. Comparison ofendoscopic tympanoplasty to microscopic tympanoplasty. Clin Exp Otorhinolaryngol 2017; 10 (01) 44-49
    CrossrefPubMedGoogle Scholar
  • 21 Raj A, Meher R. Endoscopic transcanal myringoplasty-A study. Indian J Otolaryngol Head Neck Surg 2001; 53 (01) 47-49
    CrossrefPubMedGoogle Scholar
  • 22 Emre IE, Cingi C, Bayar Muluk N, Nogueira JF. Endoscopic ear surgery. J Otol 2020; 15 (01) 27-32
    CrossrefPubMedGoogle Scholar
  • 23 Harugop AS, Mudhol RS, Godhi RA. A comparative study of endoscope assisted myringoplasty and micrsoscope assisted myringoplasty. Indian J Otolaryngol Head Neck Surg 2008; 60 (04) 298-302
    CrossrefPubMedGoogle Scholar
  • 24 Ravi N, Meher R, Rathore PK, Singh I. Comparison of efficacy of endoscopic versus microscopic transcanal inlay butterfly cartilage myringoplasty. Am J Otolaryngol 2021; 42 (04) 102978
    CrossrefPubMedGoogle Scholar
  • 25 Magnan J, Chays A, Lepetre C, Pencroffi E, Locatelli P. Surgical perspectives of endoscopy of the cerebellopontine angle. Am J Otol 1994; 15 (03) 366-370
    Google Scholar
  • 26 Nogueria Junior JF, Martin MJB, Aguiar CV, Pinheiro AI. Fully endoscopicstapes surgery (stapedotomy): technique and preliminary results. Rev Bras Otorrinolaringol (Engl Ed) 2011; 77: 721-727
    Google Scholar
  • 27 Singh N, Meher R, Passey JC, Singh I. A Comparative Study of Endoscopic Stapedotomy and Microscopic Stapedotomy. J Otol Rhinol 2021; 10 (05) 100411
    Google Scholar
  • 28 Sharma R, Meher R, Passey JC, Kumar J, Gupta A, Kharbanda S. Comparative evaluation of round window niche accessibility pre-operatively on high-resolution computed tomography of the temporal bone with intra-operative findings. J Laryngol Otol 2019; 133 (07) 575-579
    CrossrefPubMedGoogle Scholar
  • 29 Jain A, Sharma R, Passey JC, Meher R, Bansal R. Endoscopic visualisation of the round window during cochlear implantation. J Laryngol Otol 2020; 134 (03) 219-221
    CrossrefPubMedGoogle Scholar
  • 30 Cassano M, Cassano P. Retraction pockets of pars tensa in pediatric patients: clinical evolution and treatment. Int J Pediatr Otorhinolaryngol 2010; 74 (02) 178-182
    CrossrefPubMedGoogle Scholar
  • 31 Nomura Y. A needle otoscope. An instrument of endotoscopy of the middle ear. Acta Otolaryngol 1982; 93 (1-2): 73-79
    CrossrefPubMedGoogle Scholar
  • 32 Ng CL, Ong W, Ngo RYS. Otolaryngology residents' perceptions of endoscopic ear surgery during surgical training. J Laryngol Otol 2020; 134 (03) 233-240
    CrossrefPubMedGoogle Scholar
  • 33 Allori AC, Marcus JR, Daluvoy S, Bond J. Video-assisted palatopharyngeal surgery: a model for improved education and training. Cleft Palate Craniofac J 2014; 51 (05) 605-612
    CrossrefPubMedGoogle Scholar
  • 34 Chang L, Satava RM, Pellegrini CA, Sinanan MN. Robotic surgery: identifying the learning curve through objective measurement of skill. Surg Endosc 2003; 17 (11) 1744-1748
    CrossrefPubMedGoogle Scholar