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The outcomes of endoscopic approach for attic cholesteatoma: underwater continuous drilling versus traditional intermittent drilling

Published online by Cambridge University Press:  17 March 2021

D Wang ,
X Zhao ,
W Li ,
X Li ,
R Zhu  and
W Wang
D Wang
Affiliation:
ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University, China Key Laboratory of Hearing Medicine of National Health and Family Planning Commission, Shanghai, China
X Zhao
Affiliation:
Department of Otolaryngology, Xinhua Hospital, Yining, China
W Li
Affiliation:
Department of Otolaryngology, The Second Affiliated Hospital of Soochow University, Suzhou, China
X Li
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Zhengzhou Central Hospital affiliated to Zhengzhou University, China
R Zhu
Affiliation:
Department of Otolaryngology Head and Neck Surgery, Ya'an People's Hospital, Sichuan, China
W Wang*
Affiliation:
ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University, China Key Laboratory of Hearing Medicine of National Health and Family Planning Commission, Shanghai, China
*
Author for correspondence: Dr Wuqing Wang, ENT Institute and Otorhinolaryngology Department, Affiliated Eye and ENT Hospital, Fudan University, 83 Fenyang Rd, Shanghai200031, China E-mail: wwuqing@eent.shmu.edu.cn
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Abstract

Objective

This study aimed to analyse the differences between underwater continuous drilling and traditional intermittent drilling for attic cholesteatoma.

Methods

The clinical data of 61 patients with attic cholesteatoma who underwent an endoscopic approach procedure were analysed. Forty patients underwent underwater continuous drilling (group A), and 21 patients underwent traditional intermittent drilling (group B).

Results

The operation time was 64.61 ± 12.90 minutes in group A and 79.60 ± 16.81 minutes in group B (p < 0.05). The anaesthesia time was 102.69 ± 17.93 minutes in group A and 119.82 ± 19.28 minutes in group B (p < 0.05). The dry ear time, the hearing improvement rate and the post-operative complications were no different in the two groups.

Conclusion

Group A and group B had no differences in surgical outcome or hearing recovery. However, treatment in the former group resulted in a significantly shortened operation and anaesthesia time.

Keywords

EndoscopyCholesteatomaOperative
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 4 , April 2021 , pp. 310 - 314
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr W Wang takes responsibility for the integrity of the content of the paper

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