Peculiarities of the application of a multi-angle endoscopy during surgical interventions on the ethmoidal and sphenoidal sinuses: the anatomical study

Klimenko K.É.

Otdelenie otorinolaringologii FGBU "Klinicheskaia bol'nitsa #1" Upravleniia delami Prezidenta RF, Moskva;
Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Krukov A.I.

Sverzhevsky Moscow Scientific and Practical Othorhinolaryngology Center, Moscow

Peculiarities of the application of a multi-angle endoscopy during surgical interventions on the ethmoidal and sphenoidal sinuses: the anatomical study

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Klimenko K.É., Krukov A.I.

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Journal: Russian Bulletin of Otorhinolaryngology. 2014;(1): 8‑11

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To cite this article:

Klimenko KÉ, Krukov AI. Peculiarities of the application of a multi-angle endoscopy during surgical interventions on the ethmoidal and sphenoidal sinuses: the anatomical study. Russian Bulletin of Otorhinolaryngology. 2014;(1):8‑11. (In Russ.)

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This work was designed to carry out the postmortem evaluation of the potential of using a multi-angle endoscope for endonasal surgical interventions on the ethmoidal and sphenoidal sinuses. The study was performed on 5 fresh cadavers (10 sides). It was shown that the range of the angles and directions of view during dissection of ethmoidal sinuses is 10-50 degrees and 360 degrees respectively. The use of an Acclarent Cyclops endoscope made it possible to visualize all walls of the sphenoidal sinus through the enlarged aperture which confirms the higher effectiveness of this instrument compared with the traditional endoscopes having the fixed angle of view of 0, 30, 45, and 70 degrees. The disadvantages of the Acclarent Cyclops endoscope are its heavier weight and a somewhat poorer quality of the screen image of the operative field.

Keywords:

endoscopic surgery of paranasal sinuses

sphenoethmoidectomy

sphenoidal sinus

ethmoidal sinus

visualization

multi-angle endoscope

Authors:

Klimenko K.É.

Krukov A.I.

Sverzhevsky Moscow Scientific and Practical Othorhinolaryngology Center, Moscow

List of references:

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Kang S.K., White P., Lee M., Ram B., Ogston S. A randomized control trial of surgical task performance in frontal recess surgery: zero versus angled telescopes. Am J Rhinol 2002; 16: 33-36.
Kennedy D., Hwang P. Rhinology: diseases of the nose, sinuses, and skull base - 1st ed. Thieme 2012; 776.
Schlosser R.J., Harvey R.J. Endoscopic sinus surgery: optimizing outcomes and avoiding failures. Ed. R.J. Schlosser and R.J. Harvey. Plural Publishing. San Diego 2012; 356.

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