Double Handed Technique in the Endoscopic Ear Surgery for Cholesteatoma

By June 6, 2019

Cui, Yong1; Zhang, Chisup1
1 Department of Otorhinolaryngology, Guangdong Provincial People’s Hospital, No.106, Zhong Shan Er Lu, Guangzhou, China.

The disadvantage of EES is the single-handed technique. We enrolled an assistant to hold the endoscope to overcome this shortcoming. This video shows how we use double handed technique to perform EES on a patient with cholesteatoma.

The endoscope was held by an assistant, and the surgeon carried out the procedure using both hands. In this video, we showed a case of cholesteatoma secondary to pars tensa perforation. The surgeon holds the suction in one hand, while the other hand holds the instrument. The suction can remove the bleeding clot, bony debris and cooperate with the instrument held by other hand.

Although the ear canal is narrow, however, the double technique in the EES is still feasible if we arrange the endoscope and instrument rationally, and this technique is useful to perform the complicated procedures. The surgeon can manage bleeding by suction to make the view clearer while performing the surgery and can cooperate with the other hand.

Our study showed that EES using a double-handed technique with an assistant holding the endoscope was very helpful, and could overcome the shortcomings of the single-handed technique.