Mediterr. J. Otol 2006; 3:143-155
Muaaz Tarabichi
American Hospital Dubai, Dubai, UAE. mtarabichi@ahdubai.com
The advantages and limitations of the microscope have defined transmastoid access as the surgical intervention of choice for the treatment of cholesteatoma. The wide-angle view provided by the endoscope enables transcanal access to the tympanic cavity and its otherwise difficult-to-reach extensions. The attic, sinus tympani, facial recess, and hypotympanum are the primary sites of disease and surgical failure to cure. This report is a summary of the author’s 15 years of experience with the use of transcanal operative endoscopy as the primary approach to the management of cholesteatoma.