Hostname: page-component-7479d7b7d-8zxtt Total loading time: 0 Render date: 2024-07-12T01:46:30.301Z Has data issue: false hasContentIssue false
  • English
  • Français

Ultrasonic bone aspirator use in endoscopic ear surgery: feasibility and safety assessed using cadaveric temporal bones

Published online by Cambridge University Press:  18 September 2017

E G Gardner ,
J Sappington ,
M A Arriaga  and
S P Kanotra
E G Gardner
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Louisiana State University, New Orleans, USA
J Sappington
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Louisiana State University, New Orleans, USA
M A Arriaga
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Louisiana State University, New Orleans, USA
S P Kanotra*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Louisiana State University, New Orleans, USA
*
Address for correspondence: Dr Sohit Paul Kanotra, Department of Otolaryngology – Head and Neck Surgery, Louisiana State University, 200 Henry Clay Avenue Suite 4119, New Orleans, Louisiana 70118, USA Fax: +01 504 896 9296 E-mail: skanot@lsuhsc.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

To describe the feasibility and assess the safety of using an ultrasonic bone aspirator in endoscopic ear surgery.

Methods:

Five temporal bones were dissected via endoscopic ear surgery using a Sonopet ultrasonic bone aspirator. Atticoantrostomy was undertaken. Another four bones were dissected using routine endoscopic equipment and standard bone curettes in a similar manner. Feasibility and safety were assessed in terms of: dissection time, atticoantrostomy adequacy, tympanomeatal flap damage, chorda tympani nerve injury, ossicular injury, ossicular chain disruption, facial nerve exposure and dural injury.

Results:

The time taken to perform atticoantrostomy was significantly less with the use of the ultrasonic bone aspirator as compared to conventional bone curettes.

Conclusion:

The ultrasonic bone aspirator is a feasible option in endoscopic ear surgery. It enables easy bone removal, with no additional complications and greater efficacy than traditional bone curettes. It should be a part of the armamentarium for transcanal endoscopic ear surgery.

Keywords

Ultrasonic Bone AspiratorSonopetEndoscopic Ear SurgeryChronic Ear Disease
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 11 , November 2017 , pp. 987 - 990
Copyright
Copyright © JLO (1984) Limited 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented as a poster at the Triological Society Combined Section Meetings, 19–21 January 2017, New Orleans, Louisiana, USA.

References

1 Kanona, H, Virk, JS, Owa, A. Endoscopic ear surgery: a case series and first United Kingdom experience. World J Clin Cases 2015;3:310–17CrossRefGoogle ScholarPubMed
2 Kakehata, S, Watanabe, T, Ito, T, Kubota, T, Furukawa, T. Extension of indications for transcanal endoscopic ear surgery using an ultrasonic bone curette for cholesteatomas. Otol Neurotol 2014;35:101–7CrossRefGoogle ScholarPubMed
3 Vrcek, I, Starks, V, Mancini, R, Gilliland, G. Use of an ultrasonic bone curette (Sonopet) in orbital and oculoplastic surgery. Proc (Bayl Univ Med Cent) 2015;28:91–3Google ScholarPubMed
4 Sarcu, D, Isaacson, G. Long-term results of endoscopically assisted pediatric cholesteatoma surgery. Otolaryngol Head Neck Surg 2016;154:535–9CrossRefGoogle ScholarPubMed
5 Pagella, F, Giourgos, G, Matti, E, Colombo, A, Carena, P. Removal of a fronto-ethmoidal osteoma using the Sonopet Omni ultrasonic bone curette: first impressions. Laryngoscope 2008;118:307–9CrossRefGoogle ScholarPubMed
6 Nakagawa, H, Kim, SD, Mizuno, J, Ohara, Y, Ito, K. Technical advantages of an ultrasonic bone curette in spinal surgery. J Neurosurg Spine 2005;2:431–5CrossRefGoogle ScholarPubMed
7 Hadeishi, H, Suzuki, A, Yasui, N, Satou, Y. Anterior clinoidectomy and opening of the internal auditory canal using an ultrasonic bone curette. Neurosurgery 2003;52:867–70CrossRefGoogle ScholarPubMed
8 Ito, T, Mochizuki, H, Watanabe, T, Kubota, T, Furukawa, T, Koike, T et al. Safety of ultrasonic bone curette in ear surgery by measuring skull bone vibrations. Otol Neurotol 2014;35:135–9CrossRefGoogle ScholarPubMed
9 Tarabichi, M. Endoscopic transcanal middle ear surgery. Indian J Otolaryngol Head Neck Surg 2010;62:6–24 CrossRefGoogle ScholarPubMed

Gardner et al supplementary material 1

Supplementary Video

Download Gardner et al supplementary material 1(Video)
Video 19.8 MB