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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: [email protected]
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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 

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Footnotes

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

References

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