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Experiences of Percutaneous Endoscopic Approach for the Mastoid Lesions: A Novel Minimally Invasive Ear Surgery by Masaya Uchida; Shigefumi Morioka; Kunio Mizutari is a Medicine article available to read on EtoBox.
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## Objectives We developed a novel keyhole surgery, named “percutaneous endoscopic ear surgery” (PEES), with the aim of further reducing the invasiveness of otologic surgery. We reported the cases we encountered and retrospectively analyzed the invasiveness of PEES. ## Methods We analyzed the ears of eight patients who underwent PEES for mastoid lesions that could not be manipulated with transcanal endoscopic ear surgery (TEES) at our hospital between July 2021 and November 2022. We performed PEES alone in three patients, including one case of type A (preauricular incision) and two cases of type B (retroauricular incision). The last five patients underwent combined endoscopic ear surgery, which is simultaneous PEES and TEES. In these cases, one patient underwent type A PEES, and four patients underwent type B PEES. ## Results PEES was performed in all patients without converting to conventional microscopic mastoidectomy. The mean length of skin incisions was 19.1 ± 4.5 mm, which was smaller than that in conventional mastoidectomy. In all cases, the average length of the major axis of the keyhole was <10 mm, indicating that sufficient minimally invasive surgery was achieved. The ave
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- Author
- Masaya Uchida; Shigefumi Morioka; Kunio Mizutari
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2024
- Language
- EN
- Field
- Medicine (Health Sciences)
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