Transcanal Access
Transcanal Access - Related Videos
07:35
The Microscopic Transcanal Approach in Stapes Surgery Revisited
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Cited by 2 •
2022
This article describes the microscopic transcanal technique for stapes surgery, providing step-by-step surgical instructions for familiarizing surgeons with this approach.
14:37
Accessibility to Clinical Care for People who use Wheelchairs
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2023
Source: Yetsa Tuakli-Wosornu1,2, Jaideep Talwalkar1; 1Yale School of Medicine, 2University of Pittsburgh In the United States, 25% of the general population suffers from one or another type of disability. Ambulatory disabilities, or mobility impairments, represent the most common subcategory, comprising 14% of the country's populace. Different mobility-assistive devices, ranging from canes to scooters, enable increased independence and improved quality of life for those suffering from mobility...
09:20
Step-by-Step Stapedotomy through Transcanal Exclusive Endoscopic Approach
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Cited by 3 •
2022
The aim of this article is to provide a step-by-step method for endoscopic stapes surgery from operating room setting and patient positioning to post-operative care. This work would represent a guide for any otologic surgeon who is willing to treat otosclerosis with endoscopic transcanal technique.
02:37
Robot-Assisted Transcanal Endoscopic Ear Surgery for Congenital Cholesteatoma
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Cited by 3 •
2023
This protocol describes the removal of congenital cholesteatoma using minimally invasive transcanal endoscopic ear surgery with a two-handed approach and a robotic endoscope holder.
11:56
Central Venous Access Device Dressing Change
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2023
Source: Madeline Lassche, MSNEd, RN and Katie Baraki, MSN, RN, College of Nursing, University of Utah, UT Central venous access devices (CVAD), commonly known as central lines or central catheters, are large-bore intravenous (IV) catheters that are introduced into the central circulation. Typically, CVADs terminate in the superior vena cava, just outside of the right atrium of the heart, but they may also terminate in any one of the great veins (i.e., aorta, inferior vena cava, brachiocephalic...
FAQs
Microscopic or endoscopic visualization allows the surgeon to inspect the operative field through the ear canal while directing specialized instruments toward selected anatomy. This visual control helps focus work on the middle ear or adjacent temporal-bone structures rather than exposing a broader region. The result is a procedure centered on the target structures and the specific treatment required.
These structures form the working environment for the approach and must be handled carefully as the surgeon reaches the intended target. Their management supports inspection, removal, repair, or treatment within the confined route. Attention to this anatomy is therefore central to maintaining focused access while limiting unnecessary disruption of surrounding tissue.
Its main distinction is the use of an existing anatomical corridor rather than creating a wider route through surrounding tissue. By limiting tissue dissection, the approach can concentrate surgical work near the ear canal, middle ear, or adjacent temporal-bone structures. This focused access may also support a faster recovery, depending on the procedure.
The operative sequence is guided by the target and may include inspection followed by removal, repair, or treatment of the affected structure. Surgeons use microscopic or endoscopic visualization and specialized instruments while managing the ear canal, tympanic membrane, and middle-ear anatomy. The approach therefore adapts to the specific otologic or skull-base procedure being performed.
It is considered for selected conditions involving the middle ear when the affected anatomy can be reached through the external auditory canal. The route provides a direct working path for inspecting diseased structures and, when appropriate, removing or treating them. Its use depends on the target anatomy and the requirements of the individual otologic procedure.
Transcanal Access can support repair of hearing-related structures by bringing instruments directly to selected middle-ear anatomy. The surgeon can inspect the relevant structures and perform a targeted repair under microscopic or endoscopic visualization. In medical practice, this makes the approach relevant when treatment requires focused work on anatomy involved in hearing.