Rhinology & Otology

Biography

Biography: Mubarak Khan

Abstract

Introduction: Endoscopic ear surgeries provide minimally invasive approach to the middle ear. The disadvantage of endoscopic ear surgeries is that it is one-handed surgical technique as the non-dominant left hand of the surgeon is utilized for holding and manipulating the endoscope. This necessitated the need for development of the endoscope holder which would allow both hands of the surgeon to be free for surgical manipulation and also to imitate more or less same actions of the left hand. Aim: To report the preliminary utility of our designed and developed Endoscope Holder for two handed technique of endoscopic cartilage tympanoplasty. Methods & Materials: It is a prospective non randomized clinical study. Our endoscope holder was designed and developed to aid in endoscopic ear surgery and to overcome the disadvantage of single handed endoscopic surgery. It was tested clinically for endoscopic ear surgeries. The design of the Endoscope holder is described in detail along with its manipulation and maneuvering. A total of 179 endo holder assisted endoscopic cartilage tympanoplasties were operated to evaluate its feasibility for the two handed technique and also simultaneously to evaluate the results of endoscopic cartilage tympanoplasty. Results: In our early follow up period ranging from 6 to 20 months in 179 ears operated, the graft uptake was seen in 174 patient’s ears with one residual perforation and 4 recurrent perforations giving a success rate of 97.206 percent. Our endoscope holder is a good option for two handed technique in endoscopic ear surgery. Conclusion: The study reports the successful application and use of the endo holder in two handed technique of endoscopic tympanoplasty.