Transtympanic endoscopy for diagnosis of middle ear pathology

Otolaryngol Clin North Am. 2013 Apr;46(2):227-32. doi: 10.1016/j.otc.2012.10.006.


Office-based transtympanic endoscopy through the perforation made by laser-assisted myringotomy (LAM) has been introduced for diagnosis of ossicular interruption, stapes fixation, tympanosclerosis, congenital cholesteatoma, and perilymphatic fistula. Endoscopy of the middle ear reveals minor anomalies around the incudostapedial joint and the superstructure of the stapes. This procedure can be also applied to diagnose stapes fixation and perilymphatic fistula not diagnosed presurgically, and requires exploratory tympanotomy to make a definite diagnosis. Transtympanic endoscopy using LAM is a direct and reliable preoperative diagnostic method for abnormalities of the middle ear, offers better surgical indications and patient consultation, and is a potential alternative to exploratory tympanotomy.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures / methods
  • Child
  • Child, Preschool
  • Ear Ossicles / pathology
  • Ear Ossicles / surgery
  • Ear, Middle / pathology*
  • Ear, Middle / surgery*
  • Endoscopy / methods*
  • Female
  • Humans
  • Infant
  • Laser Therapy / methods*
  • Male
  • Middle Ear Ventilation / methods*
  • Minimally Invasive Surgical Procedures / methods
  • Myringoplasty / methods
  • Risk Assessment
  • Treatment Outcome
  • Tympanic Membrane / pathology
  • Tympanic Membrane / surgery