{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:37:26Z","timestamp":1787027846365,"version":"build-2736575974"},"reference-count":21,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T00:00:00Z","timestamp":1744848000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Defense Medical Center","award":["NSTC 114-2314-B-016-003"],"award-info":[{"award-number":["NSTC 114-2314-B-016-003"]}]},{"name":"National Defense Medical Center","award":["TSGH_D_114166"],"award-info":[{"award-number":["TSGH_D_114166"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background\/Objectives: Using transcanal endoscopic ear surgery to manage middle ear disease in children remains a controversial topic. The aim of this study was to compare the efficacy of transcanal endoscopic ear surgery between children and adults. Methods: The aim of this study was to compare the efficacy of transcanal endoscopic ear surgery between children and adults. Results: We observed no significant difference between pediatric and adult patients with regard to the rates of surgical success, postoperative hearing gain, and postoperative complications in all surgical procedures. As for ventilation tube insertion, the pediatric patients had shorter surgical times compared to adult patients. With respect to tympanoplasty, the pediatric group had a longer surgical time than adults did. Conclusions: Our study showed that transcanal endoscopic ear surgery can be successfully applied to manage various middle ear diseases in children.<\/jats:p>","DOI":"10.3390\/children12040519","type":"journal-article","created":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T06:53:46Z","timestamp":1744872826000},"page":"519","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Efficacy of Transcanal Endoscopic Ear Surgery in Children Compared to Adults"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1500-2714","authenticated-orcid":false,"given":"Wan-Hsuan","family":"Sun","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-8137-412X","authenticated-orcid":false,"given":"Chia-Ho","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8201-5799","authenticated-orcid":false,"given":"Chao-Yin","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng-Yao","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8541-5197","authenticated-orcid":false,"given":"Tzu-Chin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Cathay General Hospital, Taipei 10630, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,17]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1016\/j.ijporl.2015.10.019","article-title":"Transcanal endoscopic ear surgery for pediatric population with a narrow external auditory canal","volume":"79","author":"Ito","year":"2015","journal-title":"Int. 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Initial evaluation]","volume":"107","author":"Thomassin","year":"1990","journal-title":"Ann. Otolaryngol. Chir. Cervicofac."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1017\/S0022215100126611","article-title":"The use of rigid endoscopes in cholesteatoma surgery","volume":"108","author":"Yung","year":"1994","journal-title":"J. Laryngol. Otol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1097\/MAO.0b013e3181b0503e","article-title":"Transcanal endoscopic approach to the sinus tympani: A clinical report","volume":"30","author":"Marchioni","year":"2009","journal-title":"Otol. Neurotol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1177\/000348949910800913","article-title":"Otoendoscopy for improved pediatric cholesteatoma removal","volume":"108","author":"Good","year":"1999","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1001\/archotol.1995.01890080038007","article-title":"Use of endoscopes for chronic ear surgery in children","volume":"121","author":"Rosenberg","year":"1995","journal-title":"Arch. Otolaryngol. Head Neck Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1288\/00005537-199308000-00021","article-title":"Endoscopic-guided otosurgery in the prevention of residual cholesteatomas","volume":"103","author":"Thomassin","year":"1993","journal-title":"Laryngoscope"},{"key":"ref_15","first-page":"405","article-title":"Residual cholesteatoma: Its prevention by surgery with endoscopic guidance","volume":"112","author":"Thomassin","year":"1991","journal-title":"Rev. Laryngol. Otol. Rhinol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"2386","DOI":"10.1002\/lary.24633","article-title":"Minimally invasive functional approach for cholesteatoma surgery","volume":"124","author":"Hanna","year":"2014","journal-title":"Laryngoscope"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1016\/S0194-59980301577-8","article-title":"Endoscope affects decision making in cholesteatoma surgery","volume":"129","author":"Mandour","year":"2003","journal-title":"Otolaryngol. Head Neck Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1097\/00129492-200209000-00004","article-title":"Value of ear endoscopy in cholesteatoma surgery","volume":"23","year":"2002","journal-title":"Otol. Neurotol."},{"key":"ref_19","first-page":"63","article-title":"Endoscopic middle ear and mastoid surgery for cholesteatoma","volume":"25","author":"Sajjadi","year":"2013","journal-title":"Iran. J. Otorhinolaryngol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1002\/lary.20748","article-title":"Pyramidal eminence and subpyramidal space: An endoscopic anatomical study","volume":"120","author":"Marchioni","year":"2010","journal-title":"Laryngoscope"},{"key":"ref_21","first-page":"153","article-title":"Results of endoscopic middle ear surgery for cholesteatoma treatment: A systematic review","volume":"34","author":"Presutti","year":"2014","journal-title":"Acta Otorhinolaryngol. 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