Endoscopic Cholesteatoma Surgery
Endoscopic cholesteatoma surgery – advanced, structure-preserving approach
Minimally invasive approach. Enhanced visualization. Preservation of healthy tissue. No bone drilling. Faster recovery. Endoscopic cholesteatoma surgery is a modern method that enables effective treatment of this potentially dangerous middle ear disease while maximizing preservation of functional structures.
What is a cholesteatoma and what are its symptoms?
A cholesteatoma is an abnormal accumulation of skin cells growing in the middle ear or mastoid. Although not a malignant tumor, a cholesteatoma grows progressively and can lead to serious complications:
- erosion of the ossicles, resulting in hearing loss
- destruction of surrounding bony structures
- vertigo due to inner ear damage
- facial nerve paralysis
- meningitis and other intracranial complications
The most common symptoms of cholesteatoma include:
- chronic ear discharge, often with an unpleasant smell
- progressive hearing loss
- occasional ear pain or pressure
- vertigo or balance disturbances
Endoscopic approach to cholesteatoma treatment
At St. Catherine Specialty Hospital we utilize endoscopic cholesteatoma surgery, which offers:
- more precise visualization – 4K endoscopes provide detailed views of hard-to-reach areas of the middle ear
- transcanal access – in suitable cases, the procedure avoids postauricular incisions and mastoid drilling
- more complete disease assessment – endoscopes allow “around-the-corner” views and better disease control
- preservation of healthy tissue – targeted removal of pathology with maximal preservation of normal structures
- improved hearing outcomes – better chances of ossicular preservation or reconstruction
- faster recovery – less tissue trauma results in quicker healing
Individualized treatment approach
Mislav Malić, M.D., Ph.D., FEBORL-HNS, otorhinolaryngology specialist, with expertise in cholesteatoma surgery, tailors the treatment approach for each patient. Although the endoscopic technique is preferred when appropriate, our hospital also uses other surgical methods as needed:
- endoscopic technique – ideal for limited cholesteatomas in the middle ear, especially in the anterior and inferior tympanic regions
- combined technique – simultaneous use of endoscope and microscope for optimal results
- traditional microscopic technique – used for extensive cholesteatomas extending into the mastoid and other areas
The choice of surgical technique depends on:
- size and extent of the cholesteatoma
- location of the disease
- previous surgeries
- patient-specific anatomy
- preoperative hearing status
Postoperative monitoring
Following cholesteatoma surgery, regular follow-up is essential regardless of the surgical method used. Endoscopic follow-up allows early detection of recurrence and timely intervention.
Recovery after endoscopic surgery is typically quicker, with less postoperative pain and a shorter rehabilitation period. Hearing improvement depends on the extent of the disease and the possibility of ossicular chain reconstruction.
If you are experiencing chronic ear discharge, hearing loss or other symptoms that may suggest a cholesteatoma, it is important to consult a specialist for timely diagnosis and treatment. Delaying treatment can lead to serious complications!
