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