OTORHINOLARYNGOLOGY ULTRASONIC SURGERY: NEW AREAS FOR EXACT AND SAFE INTERVENTION
Keywords:
To evaluate the clinical effectiveness and safety of piezoelectric tools (piezotomes) in rhinosurgery and to refine surgical protocols for maxillary sinus procedures and septoplasty.Abstract
Surgical missions in low- and middle-income countries (LMICs) face significant hurdles in maintaining high-quality care within ENT (head and neck surgery). Modern portable technologies, specifically point-of-care ultrasonography (POCUS) and piezoelectric surgery, offer transformative solutions. While POCUS facilitates real-time diagnostics in imaging-restricted areas, piezosurgery provides a precise, low-trauma alternative to conventional mechanical instruments like drills and chisels, reducing risks of thermal damage and bleeding.
References
1. AswaniJ, Baidoo K, Otiti J. Establishing a head and neck unit in a developing country. JLO. 2012;126(6):552-555.
2. Fagan JJ, Zafereo M, Aswani J, Netterville JL, Koch W. Head and neck surgical subspecialty training in Africa: sustainable models to improve cancer care in developing countries. Head Neck. 2017; 39(3):605-611.
3. Chambers K, Creighton F, Abdul-Aziz D, Cheney M, Randolph G. Global health-related publications in otolaryngology are increasing. Laryngoscope. 2015;125(4):848-851.
4. Zender CA, Clancy K, Thuener JE, Mannion K. Surgical outreach and microvascular surgery in developing countries. Oral Oncol. 2018;81:69-74.
5. Pearce EC, Mainthia R, Freeman KL, Mueller JL, Rohde SL, Net terville JL. The usefulness of a yearly head and neck surgery trip to rural Kenya. Otolaryngol Head Neck Surg. 2013;149(5):727-732.
6. Becker DM, Tafoya CA, Becker SL, Kruger GH, Tafoya MJ, Becker TK. The use of portable ultrasound devices in low- and middle-income countries: a systematic review of the literature. Trop Med Int Health. 2016;21(3):294-311.
7. Silva HP, Viana AL. Health technology diffusion in developing countries: a case study of CT scanners in Brazil. Health Policy Plan. 2011;26(5):385-394.
8. Bonnard P, Boutouaba S, Diakhate I, Seck M, Dompnier JP, Riveau G. Learning curve of vesico-urinary ultrasonography in schistosoma haematobium infection with who practical guide: a ‘‘simple to learn’’ examination. Am J Trop Med Hyg. 2011;85(6): 1071-1074.
9. ShahS, NobleVE,UmulisaI,et al. Development of an ultrasound training curriculum in a limited resource international setting: successes and challenges of ultrasound training in rural Rwanda. Int J Emerg Med. 2008;1(3):193-196.
10. Bell G,Wachira B,DenningG.Apilottraining program for point of-care ultrasound in Kenya. Afr J Emerg Med. 2016;6(3): 132-137. 11. LaGrone LN, Sadasivam V, Kushner AL, Groen RS. A review of training opportunities for ultrasonography in low and mid dle income countries. Trop Med Int Health. 2012;17(7): 808-819Fokkens, W. J. (2020). EPOS2020: a major step forward. Rhinology, 58(1), 1. https://doi.org/10.4193/RHIN20.401
11. Al-Mujaini A, et al. OMJ. 24, 70-80 (2009); doi:10.5001/omj.2009.18
12. Siljander, B., Wang, A., Zhang, L., Shih, A., Sullivan, S., & Tai, B. (2014). Cool Mist Irrigation Improves Heat Dissipation during Surgical Bone Drilling. Journal of Neurological Surgery Part B: Skull Base, 75(04), 243–246. doi:10.1055/s-0034-1368098
13. Pavlíková G, Foltán R, Horká M, Hanzelka T, Borunská H, Sedý J. Piezosurgery in oral and maxillofacial surgery. Int J Oral Maxillofac Surg. 2011 May;40(5):451-7. doi: 10.1016/j.ijom.2010.11.013. Epub 2010 Dec 19. PMID: 21176870.
14. Demirbilek, N., & Evren, C. (2019). Is Piezoelectric Surgery Really Harmless to Soft Tissue? Journal of Craniofacial Surgery, 30(7), 1966-1969. doi:10.1097/scs.0000000000005598