Figure 1
Congenital cholesteatoma removal using TEES in a 5-year-old
girl : A) After elevating the tympanomeatal flap, the cholesteatoma
behind the corda tympani was visible. Co = cholesteatoma; C = corda
tympani nerve; Tm = tympanomeatal flap; B) After drilling the scutum,
the surgeon carefully removed the cholesteatoma; C) The incus was
destroyed, and the stapes could not be identified during surgery.
Therefore, the destroyed incus was removed. I = destroyed incus; D) The
residual cholesteatoma at the sinus tympanum and the matrix at the oval
window were removed. O = oval window; E) Water irrigation of the middle
ear; F) Identification of the location of the foot plate and facial
nerve. Fp = foot plate; Fn = facial nerve; G) The scutum was
reconstructed using tragus cartilage. Meanwhile, the ossicular chain was
restored using total ossicular replacement prosthesis. T = tragus
cartilage; To = total ossicular replacement prosthesis (TORP); H)
Replacement of the tympanomeatal flap