Dubach, Patrick; Michailidou, Efterpi; Waser, Manuel; Friedrich, Hergen; Huth, Markus; Caversaccio, Marco (2024). Prevention of nostril lacerations in endonasal drilling procedures by use of a conventional protective ear speculum. (In Press). American journal of otolaryngology, 45(4), p. 104319. Elsevier 10.1016/j.amjoto.2024.104319
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PURPOSE
Injuries of the nasal vestibular skin caused by the rotating burr shafts can represent a tedious complication following endonasal drilling and is experienced sooner or later by every rhino-surgeon.
MATERIAL AND METHODS
To protect the nasal entrance from laceration by the free rotating drill shaft we position an otology speculum in the nasal entrance. The speculum is held in place by the scrub nurse during the critical phase of bone drilling.
RESULTS
Following the introduction of the ear speculum protection, we successfully treated our dacryocystostamia procedures (n = 27) and median maxillectomia procedures (n = 6) without any further soft tissue erosions.
DISCUSSION
Preventive measures for injuries by endonasal drilling procedures are not reported extensively in literature. This stands in contrast to the fact that these injuries are prone to cause significant suffering as amply described in the case of nostril laceration due to nasogastric intubation or nasogastric feeding tubes.
CONCLUSION
The use of a readily available, reusable ear speculum in endonasal drill application eliminated the complication of nasal entrance lacerations throughout our institution, hitherto.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) |
UniBE Contributor: |
Dubach, Patrick, Michailidou, Efterpi, Waser, Manuel Nicola, Friedrich, Hergen, Caversaccio, Marco |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1532-818X |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
30 Apr 2024 10:22 |
Last Modified: |
01 May 2024 00:17 |
Publisher DOI: |
10.1016/j.amjoto.2024.104319 |
PubMed ID: |
38678802 |
Uncontrolled Keywords: |
DCR Drill Drill complications Median maxillectomy Medical device related pressure ulcers Nostril laceration Powered instruments |
BORIS DOI: |
10.48350/196344 |
URI: |
https://boris.unibe.ch/id/eprint/196344 |
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