Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London
(plain text version here)
With a little help from cataract surgery
Author: Zoran Zikic
ePoster Number: 148,00
Purpose
To present a simple and cost effective way of intraoperative irrigation, during endonasal endoscopic dacryocystorhinostomy (endo DCR).
Methods
An irrigation line, from a phacoemulsification (PHACO) machine, is attached to a metal irrigation/aspiration rigid endoscope sleeve. Depressing the foot pedal activates the flow of saline fluid, which cleans the tip of the endoscope and flushes the endonasal surgical field. Aspiration of the fluid is performed with the aspirating periosteal elevator, in the dominant hand.
A total of 79 endo DCR-s were performed, 55 with the aid of the PHACO machine, and 24 without.
Results
The average surgical time reduction, with the use of the PHACO machine, was 12 minutes. Removal of the endoscope from the nasal space was not necessary in the first group, whereas in the second group, an average of 3 exits and entries of the endoscope, from/into the nose, were required, for the purpose of cleaning and/or antifog solution application.
Conclusion
The use of irrigation with the PHACO machine, reduces the need for manual cleaning of the endoscope tip and application of antifog solution which, otherwise, requires repeated exits and entries from/into the nose. A PHACO machine is readily available in opthalmic surgery settings, whereas special multifunction machines require significant additional investement. Refrigerated saline helps with maintaining the nasal mucosa vasoconstriction. The only drawback is the fact that the metal sleeve adds approximately 1 mm to the width of the endoscope, which could be an issue in a tight nose. However, the metal sleeve is reusable, which is more affordable than the single use plastic sleeves.
Additional Authors
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Abstract ID: 25-340
