ENDOSCOPIC EAR SURGERY

The purpose of ear surgeries is to repair the hole in the eardrum, repair the ear ossicles, clear the infections in the middle ear cavity and return the hearing to normal. While sometimes all of these goals can be achieved, in some ear infections, the only goal may be to save the patient’s life. Classically, ear surgeries are performed with a microscope. For this, the hair around the patient’s ear is usually shaved. An incision is made on the skin behind the auricle and the middle ear cavity is reached from here. However, in order to reach the middle ear cavity, the healthy ear bone must be pierced with special tools and a path must be opened. After the surgery, bandage and dressing should be applied to the patient’s ear area. All these create negativities in terms of patient comfort.

In recent years, a team all over the world, including myself, is now performing ear surgeries endoscopically. In this method, no incision is made on the skin. By entering through the external ear canal with imaging tools called endoscope, the image is transferred to a large monitor and the surgery is performed under this vision.

The most important advantages of endoscopic ear surgery are:

  1. The operation can be performed entirely through the external ear canal, without making any skin incisions.

  2. With angled endoscopes, areas that cannot be seen and reached with a microscope can be easily seen.

  3. While removing diseased tissues, healthy tissues are largely preserved.

  4. Since the operation is performed with a larger magnification compared to the microscope, a much more sensitive surgery is performed.

  5. The tissue damage that occurs during the surgery is much less than the surgery performed with a microscope. This makes post-operative recovery much faster.

  6. There is no need for bandage and dressing application after the surgery. Patients return to their daily lives much faster.

Endoscopic ear surgeries are:

  1. Repair of eardrum perforations

  2. Inserting an ear tube

  3. Otosclerosis (calcification of the ossicles) surgeries

  4. Surgery for chronic middle ear infections

  5. In addition, in many surgeries, endoscopes are used in combination with a microscope, allowing the surgery to be performed more healthily in cases where the microscopes are insufficient.

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