Use of a Fiberoptic-Laser Approach During Endoscopic Sinus Surgery: A Cadaver Feasibility Study

被引：0

作者：

Trimarchi, Matteo ^{[1
,2
]}

Vinciguerra, Alessandro ^{[1
,2
]}

Rampi, Andrea ^{[1
,2
]}

Arrigoni, Gianluigi ^{[3
]}

Doglioni, Claudio ^{[2
,3
]}

Bussi, Mario ^{[1
,2
]}

机构：

[1] IRCCS San Raffaele Sci Inst, Div Head & Neck Dept, Otorhinolaryngol Unit, Milan, Italy

[2] Univ Vita Salute San Raffaele, Sch Med, Milan, Italy

[3] IRCCS San Raffaele Sci Inst, Div Expt Oncol, Pathol Unit, Milan, Italy

来源：

INDIAN JOURNAL OF OTOLARYNGOLOGY AND HEAD & NECK SURGERY | 2023年 / 75卷 / SUPPL 1期

关键词：

Laser; Maxillary sinus; Oro-nasal approach; Bone drilling; Nasal oncology; DIODE-LASER; MAXILLECTOMY; PAPILLOMA; DRILL;

D O I：

10.1007/s12070-023-03593-9

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

AimsThe aim of the present study is to evaluate the clinical applicability of laser energy during an oro-nasal endoscopic approach (ONEA) in the management of the anterior maxillary sinus wall.MethodsAn experiment on three adult human cadavers was performed to study the nasal cavities with angled rigid scopes and using the ONEA technique. In order to evaluate the effectiveness of laser energy on the bone, the drilling effect was compared to laser energy (1470 nm diode laser, continuous wave, power 8, 9 and 10 W).ResultsCompared to a rigid angled scope, the ONEA technique allowed complete visualization of the anterior wall of the maxillary sinus. Microscopic analysis of frontal bone revealed similar bone Exeresis with high-speed drilling (270.28 mu m) and laser approaches (285.73-456.6 mu m).ConclusionsThe laser ONEA technique is an innovative, mini-invasive, and safe approach to the anterior wall of the maxillary sinus. Additional study is warranted to further develop this technique.

引用

页码：1047 / 1052

页数：6

共 20 条

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