J Korean Ophthalmol Soc.  2015 Nov;56(11):1667-1670. 10.3341/jkos.2015.56.11.1667.

Endoscopic Dacryocystorhinostomy Using Ultrasonic Bone Aspirator

• Lee SJ
• Kim JY
• Kwon JH

• KMID: 2214172
• DOI: http://doi.org/10.3341/jkos.2015.56.11.1667

Abstract

PURPOSE
To report the results of 15 endoscopic dacryocystorhinostomy (eDCR) cases using ultrasonic bone aspirator (UBA) and evaluate the UBA efficiency in these surgeries.
METHODS
Fifteen eyes of 12 patients presenting with nasolacrimal duct obstruction were evaluated in the present study. eDCR and osteotomy were performed using UBA (Cusa excel, Integra, New Jersey, NJ, USA) from January 2014 to June 2014.
RESULTS
All the patients showed complete resolution of the epiphora. There were no complications or recurrences for a minimum of 10 months postoperatively.
CONCLUSIONS
This is the first report on eDCR using UBA. The surgeries were successful and no complications were observed. eDCR using UBA is an easy, safe and effective technique with minimal heat production, minimal damage to the surrounding soft tissue and quick and precise bone removal.

Keyword

Endoscopic dacryocystorhinostomy; Ultrasonic bone aspirator

MeSH Terms

Dacryocystorhinostomy*
Humans
Lacrimal Apparatus Diseases
Nasolacrimal Duct
New Jersey
Osteotomy
Recurrence
Thermogenesis
Ultrasonics*

Figure

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  Figure 1. Photograph of ultrasonic bone aspirator. Cusa power supply unit (A) and tip (B).

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  Figure 2. Photograph of operation view. (A) Intraoperative endoscopic finding of bone removing using ultrasonic bone aspirator. (B) Endoscopic photograph of the right nasal cavity at completion of the osteotomy during the surgery.

Reference

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