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Endoscopic ear surgery: a hot topic?

Published online by Cambridge University Press:  10 January 2017

S Mitchell  and
C Coulson
S Mitchell*
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, UK
C Coulson
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, University Hospitals Birmingham NHS Foundation Trust, UK
*
Address for correspondence: Mr S Mitchell, Department of Otolaryngology, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Mindelsohn Way, Edgbaston, Birmingham B15 2WB, UK E-mail: scottmitchell@nhs.net
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Abstract

Objectives:

To summarise published research investigating maximal temperatures associated with endoscopes used in otology. Possible thermal issues surrounding the use of endoscopes in middle-ear surgery are discussed, and recommendations regarding the safest ways to use endoscopes in endoscopic ear surgery are made.

Methods:

A non-systematic review of the relevant literature was conducted, with descriptive analysis and presentation of the results.

Results:

There are currently no reports of any temperature-related deleterious effects in patients having undergone endoscopic ear surgery. There is debate regarding heat issues in endoscopic ear surgery, with a limited body of work documenting potential negative impacts of middle-ear heat exposure from endoscopes. The diameter of endoscope, type of light source used, distance from endoscope tip and duration of exposure are highlighted potential factors for high temperatures in endoscopic ear surgery.

Conclusion:

There is a trend towards endoscopes being used routinely in ear surgery. Simple practice points are recommended to minimise potential thermal risks.

Keywords

Endoscopic Surgical ProceduresOtologic Surgical ProceduresEndoscopesMiddle EarInner EarTemperature
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 2 , February 2017 , pp. 117 - 122
Copyright
Copyright © JLO (1984) Limited 2017 

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