Endoscopic Dacryocystorhinostomy Using Ultrasonic Bone Aspirator

Soo Jung Lee; Jung Yup Kim; Jae Hwan Kwon

doi:10.3341/jkos.2015.56.11.1667

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Lee, Kim, and Kwon: Endoscopic Dacryocystorhinostomy Using Ultrasonic Bone Aspirator

Original Article

J Korean Ophthalmol Soc 2015;56(11):1667-1670.

Published online: 29 August 2015

DOI: https://doi.org/10.3341/jkos.2015.56.11.1667

Endoscopic Dacryocystorhinostomy Using Ultrasonic Bone Aspirator

Soo Jung Lee, M.D, PhD¹, Jung Yup Kim, M.D¹, Jae Hwan Kwon, M.D, PhD²

¹Department of Ophthalmology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea

²Department of Otorhinolaryngology, Kosin University Gospel Hospital, Kosin University College of Medicine^², Busan, Korea

Address reprint requests to Soo Jung Lee, MD, PhD Department of Ophthalmology, Inje University Haeundae Paik Hospital, #875 Haeun-daero, Haeundae-gu, Busan 48108, Korea Tel: 82-51-797-2310, Fax: 82-51-797-2669 E-mail: kris9352@hanmail.net

‗ This study was presented as an e-poster at the 111th Annual Meeting of the Korean Ophthalmological Society 2014.

Received 20 March 20154 June 2015 Accepted 31 July 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Endoscopic dacryocystorhinostomy, Ultrasonic bone aspirator

References

1. Dolman PJ. Comparison of external dacryocystorhinostomy with nonlaser endonasal dacryocystorhinostomy. Ophthalmology. 2003; 110:78–84.

2. Yung MW, Hardman-Lea S. Endoscopic inferior dacryocystorhinostomy. Clin Otolaryngol Allied Sci. 1998; 23:152–7.

3. Schlachter DM, Richani K, Black EH. Diode laser-assisted endo-canalicular dacryocystorhinostomy: a prospective study. Ophthal Plast Reconstr Surg. 2015;Apr 7; [Epub ahead of print].

4. Maini S, Raghava N, Youngs R. . Endoscopic endonasal laser versus endonasal surgical dacryocystorhinostomy for epiphora due to nasolacrimal duct obstruction: prospective, randomised, con-trolled trial. J Laryngol Otol. 2007; 121:1170–6.

5. Javate RM, Campomanes BS Jr, Co ND. . The endoscope and the radiofrequency unit in DCR surgery. Ophthal Plast Reconstr Surg. 1995; 11:54–8.

6. Wong RJ, Gliklich RE, Rubin PA, Goodman M. Bilateral nasola-crimal duct obstruction managed with endoscopic techniques. Arch Otolaryngol Head Neck Surg. 1998; 124:703–6.

7. Pribitkin EA, Lavasani LS, Shindle C, Greywoode JD. Sonic rhinoplasty: sculpting the nasal dorsum with the ultrasonic bone aspirator. Laryngoscope. 2010; 120:1504–7.

8. Antisdel JL, Kadze MS, Sindwani R. Application of ultrasonic as-pirators to endoscopic dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2008; 139:586–8.

9. Sivak-Callcott JA, Linberg JV, Patel S. Ultrasonic bone removal with the Sonopet Omni: a new instrument for orbital and lacrimal surgery. Arch Ophthalmol. 2005; 123:1595–7.

10. Salami A, Dellepiane M, Salzano FA, Mora R. Piezosurgery in en-doscopic dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2009; 140:264–6.

11. Murchison AP, Pribitkin EA, Rosen MR, Bilyk JR. The ultrasonic bone aspirator in transnasal endoscopic dacryocystorhinostomy. Ophthal Plast Reconstr Surg. 2013; 29:25–9.

12. Fasano VA, Zeme S, Frego L, Gunetti R. Ultrasonic aspiration in the surgical treatment of intracranial tumors. J Neurosurg Sci. 1981; 25:35–40.

13. Cho RI, Choe CH, Elner VM. Ultrasonic bone removal versus high-speed burring for lateral orbital decompression: comparison of surgical outcomes for the treatment of thyroid eye disease. Ophthal Plast Reconstr Surg. 2010; 26:83–7.

Figure 1.

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

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.

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