Tag Endoscopic

Dr Natwar Singh Rathore (Consultant ENT Surgeon, Shalby Hospital, Jaipur)

Year: 2024, Volume: 1, Issue: 2, Pages: 135-153, Date of Publication: 31 August 2024

Abstract: Functional Endoscopic Sinus Surgery (FESS) is a Minimally invasive procedure designed to enhance Sinus drainage and ventilation, often used to address various sinus disorders. This article offers an in-depth exploration of the fundamental concepts and techniques involved in FESS, supplemented with Illustrative examples for clarity. The discussion covers key topics such as the indications for FESS, anesthesia considerations, a detailed step-by-step procedural guide, and an overview of the essential surgical instruments. Special attention is given to Anatomical factors, Surgical methodologies, and Post-Operative care strategies to maximize success and reduce the risk of complications. This guide also highlights foundational surgical steps that are particularly useful for beginners in the field.

Keywords: Functional endoscopic surgery, Sinus surgery, FESS, Minimally invasive, Sinus, Illustrative, Surgical methodologies, Anatomical factors, Post-Operative

Dr Yogita, Dr Rahul Gupta, Dr Jagriti Joshi, Dr R.G. Aiyer (Medical College Baroda & S.S.G. Hospital, Vadodara)

Year: 2025, Volume: 1, Issue: 4, Pages: 271- 303, Date of Publication: 28 February 2025

ENDOSCOPIC SINGLE-HANDED TYMPANOPLASTY: HOW EFFECTIVE ARE THE ‘PANETTI’S ENDOSCOPIC EAR SURGERY’ INSTRUMENTS!

Abstract: Endoscopic ear surgeries have always intrigued Otologists. However, the non-availability of the non-dominant hand for a simultaneous suction in the narrow ear canal has sought frequent answers from the established endoscopic ear surgeons. Professor Giuseppe Panetti has designed special endoscopic ear surgery instruments, to provide suction and instrumentation together in one hand. This study has been done to compare technique and results of endoscopic ear surgery done with conventional microscopic ear surgery instruments and Panetti’s set of instruments.

Materials & methods: This prospective comparative study was carried out at Department of E.N.T. & Head-Neck Surgery, Medical College, Baroda in duration of May 2022 to January 2023. 32 patients with ear discharge, decreased hearing and central perforation who have been operated endoscopically via Endo-meatal approach using conventional ear surgery instruments VS Panetti’s instruments, equally divided in two arms. Postoperative follow up was done at 1week, 4 week & 6 weeks.

Results: Separate suction canula was not needed as Panetti’s instruments has suction channel in these instruments. These instruments have 360 degrees rotatable Luer lock connector, which make these instrument’s use comfortable.

Conclusion: In the study comparing Panetti and conventional ear surgery instruments, no significant difference in surgery duration, graft uptake and post-op hearing outcomes was found. Surgical preference, cost, and instrument availability should guide selection.

Key words: Endoscopic ear surgeries, Single handed tympanoplasty, Panetti’s instruments, Prof. Guiseppe Panetti, Conventional ear surgery instruments, cartilage, Endo-meatal tympanoplasty