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Otol Neurotol. 2014 Aug;35(7):1123-4. doi: 10.1097/MAO.0000000000000387.

A practical use of a 16-gauge peripheral angiocatheter as an aspiration cautery in endoscopic ear surgery.

Author information

1
*Department of Otolaryngology Head and Neck Surgery, Ministry of Health Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey; †ENT Department School of Medicine, Karabuk University, Karabuk, Turkey.

Abstract

OBJECTIVE:

To define a technique for the practical use of a 16-gauge peripheral venous catheter as an insulated aspiration cautery in endoscopic ear surgery.

STUDY DESIGN:

Retrospective case review.

SETTING:

Tertiary referral center.

MATERIALS AND METHODS:

A 16-gauge intravenous catheter was prepared as a cauterization instrument with aspiration. After simple rearrangement of the exterior plastic portion, it was connected to a suction system. With the help of an unipolar cautery, aspiration of the blood and homeostasis was achieved.

RESULTS:

Hemorrhage of the external ear canal skin after incision can be easily coagulated with this instrument. During follow-up, there were no wound infection, facial nerve paresis, scar formation, and inadvertent burn of the external canal and auricular skin.

CONCLUSION:

With the help of this instrument, bleeding control during incision can be easily maintained. It is a simple, easily prepared, and alternative homeostasis technique in endoscopic ear surgery.

PMID:
24786543
DOI:
10.1097/MAO.0000000000000387
[Indexed for MEDLINE]

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