Endoscopic stapedotomy: a comparison between 4 mm and 3 mm nasal endoscope

2019 ◽  
Vol 276 (11) ◽  
pp. 3035-3041 ◽  
Author(s):  
Pradeep Pradhan ◽  
Chappity Preetam
Keyword(s):  
Nasal Endoscope ◽  
Endoscopic Stapedotomy

scholarly journals Primary endoscopic stapedotomy using 3 mm nasal endoscope: Audiologic and clinical outcomes

2020 ◽  
Vol 15 (4) ◽  
pp. 133-137
Author(s):  
Pradeep Pradhan ◽  
Chappity Preetam ◽  
Pradipta kumar Parida
Keyword(s):  
Clinical Outcomes ◽  
Nasal Endoscope ◽  
Endoscopic Stapedotomy

Late endoscopic evaluation of the ostium size after external dacryocystorhinostomy

2020 ◽  
pp. 112067212097604
Author(s):  
Reem R Al Huthail ◽  
Yasser H Al-Faky
Keyword(s):  
Chart Review ◽  
Retrospective Chart Review ◽  
Tertiary Hospital ◽  
Nasal Endoscope ◽  
Long Term Follow Up ◽  
Mean Size ◽  
External Dacryocystorhinostomy ◽  
The Mean

Objective: To evaluate the effect of chronicity on the size of the ostium after external dacryocystorhinostomy (DCR) with intubation. Methods: Design: A retrospective chart review of patients who underwent external DCR with intubation over 10 years from January 2003 at a tertiary hospital. All patients were recruited and examined with rigid nasal endoscope. Results: A total number of 66 (85 eyes) patients were included. The mean age at the time of evaluation was 53.1 years with gender distribution of 54 females (81.8 %). The mean duration ±SD between the date of surgery and the date of evaluation was 33.2 ± 33.6 (6–118 months). Our study showed an overall anatomical and functional success of 98.8% and 95.3%, respectively. The mean size of the ostium (±SD) was 23.0 (±15.7) mm2 (ranging from 1 to 80.4 mm2). The size of the ostium was not a significant factor for failure ( p = 0.907). No statistically significant correlation was found between the long-term duration after surgery and the size of the ostium ( R: 0.025, p = 0.157). Conclusions: Nasal endoscopy after DCR is valuable in evaluating the ostium with no observed potential correlation between the long-term follow-up after surgery and the size of the ostium.

An endoscopic approach to the deviated nasal septum – a preliminary study

1998 ◽  
Vol 112 (10) ◽  
pp. 934-939 ◽  
Author(s):  
Dipak Ranjan Nayak ◽  
R. Balakrishnan ◽  
K. Deepak Murthy
Keyword(s):  
Nasal Obstruction ◽  
Nasal Septum ◽  
Objective Assessment ◽  
Subjective Assessment ◽  
Endoscopic Approach ◽  
Lateral Nasal Wall ◽  
Combined Approach ◽  
Deviated Nasal Septum ◽  
Nasal Endoscope ◽  
Preliminary Study

AbstractThe authors have used the nasal endoscope for the precise identification of pathological abnormalities of the nasal septum in relation to the lateral nasal wall including the osteo-meatal complex and in its ultraconservative management. The aim of the study was to compare the efficacies of endoscope-aided septoplasty (EAS) over traditional septoplasty (TS) in treating the pathological septum and turbinates, performed in 30 cases each. The subjective assessment was carried out by visual analogue scores and objective assessment by nasal endoscopy. This study demonstrates the superiority and limitations of the endoscopic approach in managing a deviated nasal septum and the turbinates. The endoscope-aided technique was found to be more effective in relieving the contact areas and nasal obstruction (p = ≤0.05). The authors advocate a combined approach – an endoscopic approach for inaccessible posterior deviation and the conservative traditional technique for accessible anterior deviation of the nasal septum.

scholarly journals Transoral Endoscopic Adenoidectomy

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Amr El-Badrawy ◽  
Mosaad Abdel-Aziz
Keyword(s):  
High Risk ◽  
Nasal Allergy ◽  
Nasal Endoscope ◽  
Experienced Surgeon ◽  
Nasal Symptoms ◽  
Recent Advancement ◽  
Long Time ◽  
One Year ◽  
Telephone Questionnaire

Objective. Adenoid curette guided by an indirect transoral mirror and a headlight is a simple and quick procedure that has already been in use for a long time, but this method carries a high risk of recurrence unless done by a well-experienced surgeon. The purpose of this paper was to evaluate the efficacy of transoral endoscopic adenoidectomy in relieving the obstructive nasal symptoms.Methods. 300 children underwent transoral endoscopic adenoidectomy using the classic adenoid curette and St Claire Thomson forceps with a Hopkins 4-mm nasal endoscope introduced through the mouth and the view was projected on a monitor. Telephone questionnaire was used to follow-up the children for one year. Flexible nasopharyngoscopy was carried out for children with recurrent obstructive nasal symptoms to detect adenoid rehypertrophy.Results. No cases presented with postoperative complications. Only one case developed recurrent obstructive nasal symptoms due to adenoid regrowth and investigations showed that he had nasal allergy which may be the cause of recurrence.Conclusion. Transoral endoscopic adenoidectomy is the recent advancement of classic curettage adenoidectomy with direct vision of the nasopharynx that enables the surgeon to avoid injury of important structures as Eustachian tube orifices, and also it gives him the chance to completely remove the adenoidal tissues.

Endoscopic Stapedotomy

CSurgeries ◽  
2018 ◽  
Author(s):  
Cameron Wick
Keyword(s):  
Endoscopic Stapedotomy

scholarly journals The Prevalence of an Onodi Cell in Adult Thai Cadavers

2003 ◽  
Vol 82 (3) ◽  
pp. 200-204 ◽  
Author(s):  
Sanguansak Thanaviratananich ◽  
Kowit Chaisiwamongkol ◽  
Suthee Kraitrakul ◽  
Watcharachai Tangsawad
Keyword(s):  
Optic Nerve ◽  
High Risk ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Minimum Amount ◽  
Bone Thickness ◽  
Optic Nerve Injury ◽  
Nasal Endoscope ◽  
Anatomic Dissection ◽  
Onodi Cell

Endoscopic sinus surgery in patients who have an Onodi cell (sphenoethmoid cell) carries a high risk for optic nerve injury. We meticulously dissected 65 embalmed cadaver adult half-heads and attempted to identify an optic canal bulge in each with a nasal endoscope. Our aims were to determine the prevalence of an Onodi cell in adult Thai cadavers, to ascertain the prevalence of an overriding ethmoid cell, and to measure the length of an overriding ethmoid cell's superior and posterior extensions in relation to the anterior sphenoid wall. Moreover, we attempted to determine the minimum amount of bone thickness between an Onodi cell and the optic nerve. We found that an Onodi cell was present in 39 of the 65 specimens (60.0%). We also found that an overriding ethmoid cell was present in 14 specimens, which accounted for 21.5% of the total number of specimens and 36.8% of 38 Onodi cell-positive specimens (the presence or absence of an overriding ethmoid cell was not recorded in one of the 39 Onodi cell-positive specimens). The distance of the overriding ethmoid cell's superior and posterior extensions from the anterior sphenoid wall ranged from 3 to 13 mm (median: 7) and from 4 to 16 mm (median: 9.5), respectively. Measurements of the minimum amount of bone thicknesses between each Onodi cell and optic nerve ranged from 0.03 to 0.54 mm (median: 0.08). Our study demonstrated that the prevalence of an Onodi cell in adult Thai cadavers was as great as the prevalence reported in the only other gross anatomic dissection study performed in Asia and much higher than rates generally reported in Western countries.

scholarly journals Primary Endoscopic Stapes Surgery: A Comparison of Adipose Tissue and Gelfoam Seal

2020 ◽  
Author(s):  
Pradeep Pradhan ◽  
Anindya Nayak ◽  
Sidharth Pradhan ◽  
Prity Sharma ◽  
Chappity Preetam ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Early Postoperative Period ◽  
Significant Morbidity ◽  
Dizziness Handicap Inventory ◽  
Short Term ◽  
Group A ◽  
Group B ◽  
Hearing Outcomes ◽  
Sealing Materials ◽  
Endoscopic Stapedotomy

Abstract To compare the efficacy between the commonly used sealing materials, i.e., adipose tissue and the gelfoam in primary endoscopic stapedotomy. Lobular fat and gelfoam have been used in patients who underwent endoscopic stapedotomy between two groups, each containing 29 patients. The hearing outcomes and postoperative complications were compared at the end of 12 weeks between two groups. The ABG of ≤ 10 dB was achieved in 69% of cases in group A and 76% of cases in group B. There was a significant short-term (1 week) improvement in the Dizziness Handicap Inventory score (p = 00) with patients of adipose tissue seal compared to the gelfoam. Although the audiological outcomes were comparable between the two groups, the use of the adipose tissue can be a better alternative than gelfoam to control vertigo in the early postoperative period without causing any significant morbidity to the patient.

scholarly journals A case of foreign bodies self-inserted into the paranasal sinus via an oroantral fistula

2020 ◽  
Vol 8 ◽  
pp. 2050313X2096410
Author(s):  
Kihwan Kwok ◽  
Hun Po Cho ◽  
Sangheon Park ◽  
Young Joon Jun
Keyword(s):  
Nasal Cavity ◽  
Foreign Bodies ◽  
Oral Surgery ◽  
The Body ◽  
Mental Illnesses ◽  
Fistula Closure ◽  
Adult Case ◽  
Nasal Endoscope ◽  
Oroantral Fistula ◽  
Psychiatric Problems

Foreign bodies in the nasal cavity are rarely seen in adults, and most cases are traumatic in origin. Multiple foreign bodies in adults are particularly rare. Foreign bodies induce pain, bleeding, and infection but are easily removed in most cases. A patient presented with multiple toothpick foreign bodies in the nasal cavity, which were introduced intentionally through an oroantral fistula. We report an adult case with 37 toothpicks in the nasal cavity, which were removed successfully with a nasal endoscope. Oroantral fistula closure was achieved through oral surgery. Voluntary insertion of foreign bodies into the body by patients with mental illnesses is relatively difficult to identify. Evaluating and managing the psychiatric problems of such patients during treatment planning are necessary.

scholarly journals Reliability Assessment of the Endoscopic Examination in Patients with Allergic Rhinitis

2016 ◽  
Vol 7 (3) ◽  
pp. ar.2016.7.0176
Author(s):  
Georges K. Ziade ◽  
Reem A. Karami ◽  
Ghina B. Fakhri ◽  
Elie S. Alam ◽  
Abdul Latif Hamdan ◽  
...  
Keyword(s):  
Allergic Rhinitis ◽  
Endoscopic Examination ◽  
Nasal Endoscope ◽  
Mild Disease ◽  
Endoscopic Findings ◽  
Interrater Variability ◽  
Mucosal Edema ◽  
Nasal Secretions ◽  
A Prospective Study ◽  
Bluish Discoloration

Objective To study if nasal endoscope can be a reliable tool in assessing patients with allergic rhinitis. Materials and Methods A prospective study. Patients who were diagnosed with allergic rhinitis underwent a nasal endoscopic examination performed by two physicians blinded to the scoring of each other. A correlation was made among symptom severity, endoscopic findings, and interrater variability. Results Ninety patients were included in the study: 34 patients had mild disease and 56 had moderate-to-severe allergic rhinitis according to the Allergic Rhinitis and its Impact on Asthma guidelines. Increases in mucosal edema and bluish discoloration were predictive of the severity of allergic rhinitis disease (p < 0.05). The presence of nasal secretions was not predictive of allergic rhinitis. Interrater reliability was fair for mucosal edema, moderate-to-almost perfect for the rest of the endoscopic findings. Conclusion Nasal endoscopy may reveal signs that are predictive of the severity of allergic rhinitis. A detailed checklist is needed for the nasal endoscopic examination to decrease interrater variability.

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