Endoscopic Cholesteatoma Surgery.

Beckmann, Sven; Mantokoudis, Georgios; Weder, Stefan; Borner, Urs; Caversaccio, Marco; Anschuetz, Lukas (2022). Endoscopic Cholesteatoma Surgery. Journal of visualized experiments(179) MYJoVE Corporation 10.3791/63315

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Implementation of endoscopes in cholesteatoma surgery resulted in considerable changes in the management of cholesteatoma in the last two decades. Compared to the microscopic approach with an excellent but straight-line view and limited illumination, the introduction of endoscopes provides a wide-angled panoramic view. Moreover, angled lenses allow the surgeon to visualize the middle ear and its hidden recesses through a transcanal, minimally-invasive approach. The endoscope enables the surgeon to remove limited cholesteatoma of the middle ear and its recesses using an exclusive endoscopic technique by taking advantage of these benefits. This reduces the rate of residual disease and sparing external incisions and excessive temporal bone drilling as in a transmastoid approach. Since transcanal endoscopic access is mainly a one-handed technique, it implies the need for specific procedures and technical refinements. This article describes a step-by-step guide as a surgical manual for endoscopic removal of epitympanic cholesteatoma. Different techniques for cholesteatoma dissection and bone removal for epitympanectomy, including curettage and powered instruments such as drills and ultrasonic devices with their outcomes, are discussed. This may offer ear surgeons insight into technical refinements and the latest technological developments and open the horizon for different techniques.

Item Type:

Journal Article (Original Article)


04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)

UniBE Contributor:

Beckmann, Sven, Mantokoudis, Georgios, Weder, Stefan Andreas, Borner, Urs, Caversaccio, Marco, Anschütz, Lukas Peter


600 Technology > 610 Medicine & health




MYJoVE Corporation




Stefan Weder

Date Deposited:

18 Aug 2022 08:34

Last Modified:

16 May 2023 08:40

Publisher DOI:


PubMed ID:






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