Self-expandable retainer for endoscopic visualization in the external auditory canal: Proof of concept in human cadavers

Yehree Kim, Jeon Min Kang, Ho Young Song, Woo Seok Kang, Jung Hoon Park, Jong Woo Chung

Research output: Contribution to journalArticle

Abstract

This study was conducted to investigate the efficacy of a self-expandable retainer (SER) for endoscopic visualization of the external auditory canal (EAC). Tympanomeatal flap (TMF) elevation was performed in six cadaveric heads. Two different types of SER were placed. The procedural feasibility was assessed by endoscopic images. Technical success rate, procedure time, endoscopy lens cleaning, and presence of mucosal injuries were analyzed. TMF elevation and SER placement were successful in all specimens and there were no procedure-related complications. The mean procedure time with the SERs was significantly shorter than without (p < 0.001). The mean number of times the endoscopy lens was cleaned during the procedure was significantly lower in the SER group (p < 0.001). In the SER group, endoscopy insertion into the EAC was easier without tissue contact with the lens during the TMF elevation compared with the non-SER group. There were no mucosal injuries. SER placement is effective for endoscopic visualization via the expanded and straightened EAC. A fully covered type of SER is preferable. The device can be useful for endoscopic ear surgery, reducing procedure time and reducing the need for endoscopy lens cleaning during the procedure.

Original languageEnglish (US)
Article number1877
JournalApplied Sciences (Switzerland)
Volume10
Issue number5
DOIs
StatePublished - Mar 1 2020

Keywords

  • Cadaver
  • Ear canal
  • Ear speculum
  • Endoscopy
  • Self-expandable metallic stent

ASJC Scopus subject areas

  • Materials Science(all)
  • Instrumentation
  • Engineering(all)
  • Process Chemistry and Technology
  • Computer Science Applications
  • Fluid Flow and Transfer Processes

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