Endoscopic Ear Surgery


Endoscopic ear surgery allows a minimally invasive approach to the middle ear. The surgery can be performed in addition or in place of the use of the microscope to perform the procedure. The endoscope has the advantage of performing the surgery using only ear canal incisions instead of the traditional behind the ear incision.


Who is a candidate for endoscopic ear surgery?

  • Patients with holes in the ear drum who have not had chronic or recurrent drainage.
  • Patients with cholesteatomas involving the middle ear with minimal involvement of the mastoid
  • Patients with at least a 4 mm ear canal

It is important for the patient to know that sometimes more invasive surgery may be needed to be undertaken should the endoscopic approach not be successful at the first instance. Performing endoscopic ear surgery through a narrow ear canal can be challenging, but there are several techniques that will help considerably and allow for the wide view of the endoscope to be used to maximum advantage.

Why come to Dr. Djalilian for your surgery?

Dr. Djalilian has been performing endoscopic ear surgery since the early 2000’s – far earlier than most surgeons in the world. He has lectured nationally and internationally on the use of endoscopes in ear surgery and in skull base surgery for many years. He was an invited panelist at the American Neurotology Society meeting to teach other neurotologists (ear subspecialists) on how to perform endoscopic ear surgery and how to use endoscopes in the surgery of skull base tumors around the ear. In addition, Dr. Djalilian is one of a few surgeons worldwide who performs both anterior and posterior endoscopic skull base surgery as well as endoscopic ear surgery.