Skip to main content
SpringerLink
Log in

A novel device for intraoperative cauterization of bleeding points in endoscopic sinus surgery

  • Short Communication
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Hemostasis is a critical point in endoscopic sinus and skull base surgery. A variety of techniques are presently available for reducing intraoperative bleeding; however, several limitations of the classical instruments should be stated. For example, reaching bleeding points in an anatomically angled site with straightforward bipolar devices could be quite difficult. With the aim of solving this problem, we developed a simple system using a standard curved suction tube, a rubber catheter and a monopolar system. This device provides an integrated suction function and is able to reach all paranasal and skull base areas, making it extremely useful in gaining precise access to the site of bleeding while providing excellent endoscopic vision. The described monopolar suction tube has proven to be a valid instrument for intraoperative hemostasis in endoscopic procedures; moreover, it does not add any further cost, making it applicable in particular healthcare settings, such as those in developing countries.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

References

  1. Kennedy DW (2006) Technical innovations and the evolution of endoscopic sinus surgery. Ann Otol Rhinol Laryngol Suppl 196:3–12

    PubMed  Google Scholar 

  2. Senior BA, Kennedy DW, Tanabodee J, Kroger H, Hassab M, Lanza D (1998) Long-term results of functional endoscopic sinus surgery. Laryngoscope 108:151–157

    Article  CAS  PubMed  Google Scholar 

  3. May M, Levine HL, Mester SJ, Schaitkin B (1994) Complications of endoscopic sinus surgery: analysis of 2108 patients—incidence and prevention. Laryngoscope 104:1080–1083

    CAS  PubMed  Google Scholar 

  4. Teichgraeber JF, Riley WB, Parks DH (1990) Nasal surgery complications. Plast Reconstr Surg 85:527–531

    Article  CAS  PubMed  Google Scholar 

  5. Nair S, Collins M, Hung P, Rees G, Close D, Wormald PJ (2004) The effect of beta-blocker premedication on the surgical field during endoscopic sinus surgery. Laryngoscope 114:1042–1046

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Policlinico San Matteo, University of Pavia, Viale Golgi 19, 27100, Pavia, Italy

    Fabio Pagella, Alessandro Pusateri, Anna Berardi, Dario Zaccari, Irene Avato & Elina Matti

Authors
  1. Fabio Pagella
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alessandro Pusateri
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Anna Berardi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Dario Zaccari
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Irene Avato
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Elina Matti
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alessandro Pusateri.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Pagella, F., Pusateri, A., Berardi, A. et al. A novel device for intraoperative cauterization of bleeding points in endoscopic sinus surgery. Eur Arch Otorhinolaryngol 273, 2257–2260 (2016). https://doi.org/10.1007/s00405-016-4110-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-016-4110-6

Keywords

Search

Navigation