KUMJ | VOL. 21 | NO. 3 | ISSUE 83 | JULY-SEPTEMBER. 2023
Endoscopic Transcanal Atticoplasty: How we do it?
Shrestha BL, KC AK, Karmacharya S
Abstract: Endoscopic otological surgery has revolutionized ear surgery. Endoscopes are
frequently used in myringoplasty and tympanoplasty, and their use in attic
reconstruction (atticoplasty) is gaining popularity. While microscopic surgery
for limited attic cholesteatoma and attic retraction (grade III and IV) is difficult
especially anterior area, the endoscope has emerged as a new treatment option,
offering a 360-degree view of the attic and facilitating the complete removal of
diseased tissue.
1
We had performed atticoplasty with rigid nasal endoscopes
(Karl Storz) of 4 mm diameter and 18-cm length. Our preliminary results showed
that transcanal endoscopic atticoplasty is a reliable and safe technique for the
surgical management either attic retraction pocket (grade III or IV) or limited attic
cholesteatoma.
Keyword : Atticoplasty, Attic retraction, Endoscope, Ear surgery
