Korean J Otorhinolaryngol-Head Neck Surg.  2021 Jul;64(7):511-516. 10.3342/kjorl-hns.2020.01109.

Transcanal Endoscopic Ear Surgery with Piezoelectric Device for External Auditory Canal Lesions

• Lee CY
• Kim SH
• Choi JH

• KMID: 2518597
• DOI: http://doi.org/10.3342/kjorl-hns.2020.01109

Abstract

External auditory canal exostosis (EACE) is prone to occur in patients frequently exposed to cold water, which causes earwax impaction, recurrent otitis externa, and conductive hearing loss. The main treatment for symptomatic EACE is surgical excision. External auditory canal cholesteatoma (EACC) is a bone-destructive cystic mass caused by accumulation of plugs of desquamated keratin debris in the external auditory canal (EAC), which is also mainly treated with surgical removal. The main difficulties in the surgical removal of obstructive EACEs or EACCs are related to the adjacency of EAC skin, tympanic membrane, temporomandibular joint, and the blockage of the medial EAC landmarks during the operation. The piezoelectric device (PZD), which has long been used to cut bony structures in dental surgery, has clinical advantages here with regards to accurate exclusive bone cutting ability and minimal heat production. We report a series of cases that managed EAC lesions using PZD.

Keyword

Cholesteatoma; Ear canal; Exostoses; Piezosurgery