Novel Drill-burr Protection Sheath with Inbuilt Suction-irrigation for Endoscopic Ear Surgery.
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ABSTRACT: Abstract
We have developed a novel instrument which is a drill burr protection sheath with an inbuilt suction-irrigation system for endoscopic ear surgery. It allows simultaneous suction and irrigation. It is a metallic attachment onto the mastoid drill handpiece. It provides protection for the endoscope as well as the external auditory skin during transcanal drilling procedures. It is cost effective.Level of evidence
5.Supplementary information
The online version contains supplementary material available at 10.1007/s12070-021-02944-8.
SUBMITTER: Parab SR
PROVIDER: S-EPMC9895756 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Publications
Novel Drill-burr Protection Sheath with Inbuilt Suction-irrigation for Endoscopic Ear Surgery.
Parab Sapna Ramkrishna SR Khan Mubarak Muhamed MM Rana Amit Kumar AK
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India 20211026 Suppl 3
<h4>Abstract</h4>We have developed a novel instrument which is a drill burr protection sheath with an inbuilt suction-irrigation system for endoscopic ear surgery. It allows simultaneous suction and irrigation. It is a metallic attachment onto the mastoid drill handpiece. It provides protection for the endoscope as well as the external auditory skin during transcanal drilling procedures. It is cost effective.<h4>Level of evidence</h4>5.<h4>Supplementary information</h4>The online version contain ...[more]
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Project description:BackgroundEndoscopic-assisted excision of forehead tumours like osteomas and lipomas is well established, but the conventional techniques suffer from many limitations like inadequate access, fogging of the endoscope and unclear vision due to collection of blood and debris.MethodThree simple modifications of the conventional endoscopic forehead technique for benign tumour excisions are described by the acronym 'ZISIS'. ZI Zigzag scalp incision increases the surface area of the opening permitting easy insertion of multiple instruments along with the endoscope.S Suction tubing made from a disposable suction catheter tube is taped along the endoscope sheath for continuous suctioning and good vision.IS Irrigation system of warm saline made with an infant feeding tube is also taped along the endoscope just opening in the front of the suction tube.ResultsA total of 12 consecutive patients underwent endoscopic excision of forehead benign tumours in 2 years. This included 2 lipomas and 10 osteomas cases. All patients achieved excellent hidden scars in the scalp. All patients rated their results as excellent with respect to the hidden scar and aesthetic result. No early or late complications were reported with follow-up ranging from 6 months to 2 years.ConclusionA new simple modification called 'ZISIS' endoscopic forehead excision technique is described for benign forehead tumours excision making it easier, efficient and ergonomic.Level of evidence ivEvidence obtained from multiple time series with or without the intervention, such as case studies.
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