{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T11:07:43Z","timestamp":1749812863892,"version":"3.37.3"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Recently, there have been significant advancements in transcanal endoscopic ear surgery (TEES). The combination of rigid and thin otoendoscopes with high-definition cameras enabled a less invasive transcanal access to the middle ear and a clearer view of the surgical field. Several surgeons have recently published studies about cholesteatoma resection via transcanal endoscopic surgery, even in cases where the disease has extended to the mastoid, requiring transcanal endoscopic mastoidectomy.<\/jats:p><jats:p>\n          Objectives\u2003To analyze the currently available literature on transcanal endoscopic inside-out mastoidectomy, and to determine its efficacy as a surgical technique by evaluating the disease's relapse\/recurrence rate.<\/jats:p><jats:p>\n          Data Synthesis\u2003Initially, the titles and abstracts of articles identified were analyzed. At this stage, 117 articles were analyzed, 97 of which were excluded for not meeting the inclusion criteria. The 20 remaining articles were further evaluated. The articles were classified on the basis of five levels of scientific evidence.<\/jats:p><jats:p>\n          Final Comments\u2003The analysis of the studies showed that the transcanal endoscopic approach is effective in providing access to the attic or antrum, especially in cases of sclerotic mastoids. There was only one study with grade A recommendation, which showed the efficacy of endoscopic ear surgery in the treatment of cholesteatoma. Furthermore, there were three studies with grade B recommendation, showing less relapse\/recurrence after TEES. More studies with grade A and B recommendations are needed to better evaluate the effectiveness of TEES, especially compared with that of traditional microscopic surgery.<\/jats:p>","DOI":"10.1055\/s-0043-1768202","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:35:22Z","timestamp":1682721322000},"page":"e370-e376","source":"Crossref","is-referenced-by-count":1,"title":["Inside-Out Transcanal Endoscopic Mastoidectomy: Literature Revision"],"prefix":"10.1055","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0382-8033","authenticated-orcid":false,"given":"Renan Gon\u00e7alves","family":"Bessa","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, University of S\u00e3o Paulo (USP), S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5164-0786","authenticated-orcid":false,"given":"Robinson Koji","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Faculty of Medicine, University of S\u00e3o Paulo (USP), S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1016\/j.anl.2016.06.003","article-title":"The resected area of the posterior wall of the external auditory canal during transcanal endoscopic ear surgery for cholesteatoma","volume":"44","author":"T Imai","year":"2017","journal-title":"Auris Nasus Larynx"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1097\/MAO.0b013e3182a446bc","article-title":"Extension of indications for transcanal endoscopic ear surgery using an ultrasonic bone curette for cholesteatomas","volume":"35","author":"S Kakehata","year":"2014","journal-title":"Otol Neurotol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1017\/S002221511900046X","article-title":"A novel endoscopic hydro-mastoidectomy technique for transcanal endoscopic ear surgery","volume":"133","author":"S Nishiike","year":"2019","journal-title":"J Laryngol Otol"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1016\/j.otc.2016.05.015","article-title":"Endoscopic Management of Attic Cholesteatoma: Long-Term Results","volume":"49","author":"M Alicandri-Ciufelli","year":"2016","journal-title":"Otolaryngol Clin North Am"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"156","DOI":"10.21053\/ceo.2018.00507","article-title":"Comparison of the clinical results of attic cholesteatoma treatment: Endoscopic versus microscopic ear surgery","volume":"12","author":"M R Bae","year":"2019","journal-title":"Clin Exp Otorhinolaryngol"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"2461","DOI":"10.1002\/lary.28446","article-title":"Endoscopic Versus Microscopic Management of Attic Cholesteatoma: A Randomized Controlled Trial","volume":"130","author":"A Das","year":"2020","journal-title":"Laryngoscope"},{"issue":"11","key":"ref7","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1017\/S0022215117001955","article-title":"Ultrasonic bone aspirator use in endoscopic ear surgery: feasibility and safety assessed using cadaveric temporal bones","volume":"131","author":"E G Gardner","year":"2017","journal-title":"J Laryngol Otol"},{"issue":"11","key":"ref8","doi-asserted-by":"publisher","first-page":"3021","DOI":"10.1007\/s00405-019-05588-1","article-title":"Trans-canal endoscopic ear surgery and canal wall-up tympano-mastoidectomy for pediatric middle ear cholesteatoma","volume":"276","author":"E Glikson","year":"2019","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"11","key":"ref9","doi-asserted-by":"crossref","first-page":"2036","DOI":"10.1097\/MLG.0b013e318182087f","article-title":"Transcanal antrotomy","volume":"118","author":"J J Holt","year":"2008","journal-title":"Laryngoscope"},{"issue":"10","key":"ref10","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1097\/MAO.0000000000002395","article-title":"Recidivism After Endoscopic Treatment of Cholesteatoma","volume":"40","author":"D E Killeen","year":"2019","journal-title":"Otol Neurotol"},{"issue":"11","key":"ref11","doi-asserted-by":"crossref","first-page":"1557","DOI":"10.1007\/s00405-011-1533-y","article-title":"Endoscopic open technique in patients with middle ear cholesteatoma","volume":"268","author":"D Marchioni","year":"2011","journal-title":"Eur Arch Otorhinolaryngol"},{"issue":"03","key":"ref12","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1097\/MAO.0b013e3182096b39","article-title":"Exclusive endoscopic ear surgery for acquired cholesteatoma: preliminary results","volume":"32","author":"L Migirov","year":"2011","journal-title":"Otol Neurotol"},{"issue":"04","key":"ref13","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1097\/MAO.0000000000001712","article-title":"The Impact of the Transcanal Endoscopic Approach and Mastoid Preservation on Recurrence of Primary Acquired Attic Cholesteatoma","volume":"39","author":"L Presutti","year":"2018","journal-title":"Otol Neurotol"},{"issue":"06","key":"ref14","first-page":"874","article-title":"Endoscopic management of cholesteatoma: long-term results","volume":"122","author":"M Tarabichi","year":"2000","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"04","key":"ref15","doi-asserted-by":"publisher","first-page":"580","DOI":"10.1097\/MAO.0b013e3181db72f8","article-title":"Transcanal endoscopic management of cholesteatoma","volume":"31","author":"M Tarabichi","year":"2010","journal-title":"Otol Neurotol"},{"issue":"09","key":"ref16","doi-asserted-by":"crossref","first-page":"e901","DOI":"10.1097\/MAO.0000000000002354","article-title":"The Antrum-Malleus-Tegmen Score: A Pilot Study Assessing Preoperative Radiographic Predictors for Transcanal Endoscopic Cholesteatoma Dissection","volume":"40","author":"A M Tolisano","year":"2019","journal-title":"Otol Neurotol"},{"issue":"06","key":"ref17","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1080\/00016489.2019.1597985","article-title":"Improvement of otoendoscopic surgery for epitympanic cholesteatoma invading the mastoid","volume":"139","author":"N Wu","year":"2019","journal-title":"Acta Otolaryngol"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"X18821923","DOI":"10.1177\/2473974X18821923","article-title":"Endoscopic Inside-Out Mastoidectomy with the Ultrasonic Bone Aspirator","volume":"3","author":"R Mehta","year":"2019","journal-title":"OTO Open"},{"issue":"03","key":"ref19","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/j.wjorl.2017.08.003","article-title":"Endoscopic transcanal modified canal-wall-down mastoidectomy for cholesteatoma","volume":"3","author":"H Sajjadi","year":"2017","journal-title":"World J Otorhinolaryngol Head Neck Surg"},{"key":"ref20","first-page":"258","article-title":"Transcanal Endoscopic Inside-out Mastoidectomy: Our experience","volume":"159","author":"J R Trahan","year":"2018","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"03","key":"ref21","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1002\/lio2.276","article-title":"An overview of endoscopic ear surgery in 2018","volume":"4","author":"M Kapadiya","year":"2019","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"07","key":"ref22","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1097\/00005537-200407000-00005","article-title":"Endoscopic management of limited attic cholesteatoma","volume":"114","author":"M Tarabichi","year":"2004","journal-title":"Laryngoscope"}],"container-title":["International Archives of Otorhinolaryngology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768202.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:42:41Z","timestamp":1682721761000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4]]},"references-count":22,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2023,4,28]]},"published-print":{"date-parts":[[2023,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768202","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1809-9777","1809-4864"],"issn-type":[{"type":"print","value":"1809-9777"},{"type":"electronic","value":"1809-4864"}],"subject":[],"published":{"date-parts":[[2023,4]]}}}