J Rhinol.  2022 Nov;29(3):141-147. 10.18787/jr.2022.00411.

Assessing Feasibility and Safety of Using Ultrasonic Bone Aspirator for Revision Endoscopic Sinus Surgery

• Kim JY
• Oh JH
• Kim SB
• Kwon JH

• KMID: 2536582
• DOI: http://doi.org/10.18787/jr.2022.00411

Abstract

Background and Objectives
This study introduced and evaluated the efficacy of an ultrasonic bony aspirator (UBA) in revision endoscopic sinus surgery and compared the outcomes to those of the traditional cold instrument approach.
Methods
This retrospective study enrolled 57 patients who underwent revision endoscopic sinus surgery between June 2010 and December 2017, 17 patients with a UBA approach and 40 patients with traditional instruments.
Results
Median Lund–Kennedy scores showed a statistically significant difference between the two groups at 3 months (p=0.004). Synechiae occurred in 17.6% and 35% of cases in the UBA and traditional groups, respectively. The mean operative time was significantly shorter in the traditional group (p=0.001).
Conclusion
The use of a UBA in revision endoscopic sinus surgery was safe and effective.

Keyword

Ultralsonic bone aspirator; Revision endoscopic sinus surgery

Figure

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  Fig. 1. Localization of the ethmoid hyper-ossified air cell using the navigation system before applying the ultrasonic bone aspirator

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  Fig. 2. Intraoperative endoscopic finding. A: Removal of a localized hyper-ossified ethmoid air cell using an ultrasonic bone aspirator. Only the claw portion of the device is active, which enables precise and meticulous sculpting without damaging the surrounding structures. B: When using drills in sinus surgery, the surrounding mucosa may be twisted by the rotation shaft or burr.

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  Fig. 3. Postoperative changes in the median Lund-Kennedy score according to the groups. The groups differed significantly at 3 months. *p<0.05. UBA, ultrasonic bone aspirator.

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  Fig. 4. Postoperative endoscopic view of left ethmoid cavity using ultrasonic bone aspirator. A: After 1 week. B: After 4 weeks. C: After 10 weeks.

Reference

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