Journal of Rhinology 2014;21(2):119-121.
Published online November 30, 2014.
Application of Ultrasonic Bone Aspirator in Transnasal Endoscopic Dacryocystorhinostomy : A Case Report
Joo Yeon Kim, Chan Woo Park, Jun Woong Song, Jae Hwan Kwon
Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. entkwon@hanmail.net
초음파 골분쇄 흡입기를 이용한 비내시경적 누낭비강문합술 1예
김주연, 박찬우, 송준웅, 권재환
고신대학교 의과대학 이비인후과학교실
Abstract
Transnasal endoscopic dacryocystorhinostomy (eDCR) has been performed with relative ubiquity since the introduction of the rigid nasal endoscope, with multiple reports found in the literature. Multiple techniques have been used for lacrimal osteotomy, including standard rongeurs, laser, radiofrequency and microdrill. The ultrasonic bone aspirator (UBA) has been described for a variety of neurosurgical procedures and was initially studied in orbital and lacrimal surgery by Sivak-Callcott et al. We report a 74-year-old female patient who suffered from epiphora and pus-like discharge of the right eye. The bone of the lacrimal sac fossa was thinned and removed using an ultrasonic bone aspirator. The patient had a significant symptom improvement without any complications related to UBA use. We applied an ultrasonic bone aspirator for a patient with lacrimal duct stenosis and report a successful result.
Key Words: Ultrasonic Bone Aspirator;Dacryocystorhinostomy


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