Journal of Clinical Otolaryngology Head and Neck Surgery

The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery

J Clin Otolaryngol Head Neck Surg 2015; 26(2):208-212

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2015.26.2.208

원저

시험적 고실개방술의 임상 및 내시경의 의의

이현민¹, 김석현¹, 정재환¹, 이일우¹^,^*

Clinical Characteristics of Exploratory Tympanotomy and Role of Otoendoscope

Hyun-Min Lee¹, Seok-Hyun Kim¹, Jaehwan Jung¹, Il-Woo Lee¹^,^*

¹부산대학교 의학전문대학원 이비인후과학교실

¹Department of Otorhinolartngology-Head & Neck Surgery, School of Medicine, Pusan National University, Busan, Korea

^*교신저자: 이일우，50612 경남 양산시 물금읍 금오로 20 부산대학교 의학전문대학원 이 비 인후과학교실 전화: (055) 360-2132·전송: (055) 360-2162 E-mail： entgate@gmail.com

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 30, 2015; Revised: Oct 22, 2015; Accepted: Nov 24, 2015

Published Online: May 31, 2020

ABSTRACT

Background: Exploratory tympanotomy is a challenging surgical technique for otologic surgery. Despite this technique is quite easy, it is often impossible to get the accurate diagnosis with microscopic approach for the beginners. Otoendoscope is a good diagnostic tool for the diagnosis of hidden pathology of the middle ear. We used the otoendoscope for the exploratory tympanotomy in patients with conductive hearing loss. Methods: We analyzed 37 cases of exploratory tympanotomies for conductive hearing loss carried out by a single surgeon. Results: The most common operative diagnosis was otosclerosis (n=10, 27.2%). Hearing was improved with 26 cases out of 28 cases (92.9%) with endoscopic group) whereas 4 out of 9 cases (44.4%) improved with non-endoscope group. Conclusions: Otoendoscope might be very useful instrument for the accurate diagnosis and treatment in exploratory tympanotomy surgery for conductive hearing loss with intact tympanic membrane. (J Clinical Otolaryngol 2015;26:208–212)

Keywords: 시험적 고실개방술; 이내시경

Keywords: Exploratory tympanotomy; Otoendoscope