Hemmi Tomotaka, Omura Kazuhiro, Nomura Kazuhiro, Takeda Teppei, Aoki Satoshi, Ebihara Teru
Department of Otolaryngology Japanese Red Cross Ishinomaki Hospital Ishinomaki Miyagi Japan.
Department of Otolaryngology Tohoku Kosai Hospital Sendai Miyagi Japan.
OTO Open. 2025 Jun 19;9(2):e70137. doi: 10.1002/oto2.70137. eCollection 2025 Apr-Jun.
This report introduces an endoscopic knot-tying technique for a wide range of procedures, such as nasal mucosa suturing and dura mater reconstruction, without the need for specialized instruments. The technique utilizes basic tools like a needle holder, sutures, and bayonet-shaped nasal forceps. The surgeon ties a surgeon's knot, guided by an endoscope, and pulls the suture with forceps to ensure proper tension. The method is effective in various surgeries, from septoplasty to skull base procedures, and has shown no adverse events in 137 patients. Its advantages include simplicity, no need for specialized tools, and ease of use in different facilities. The technique has the potential to advance endoscopic surgery, providing an efficient solution for diverse surgical applications.
本报告介绍了一种用于多种手术的内镜打结技术，如鼻黏膜缝合和硬脑膜重建，无需专门器械。该技术使用持针器、缝线和刺刀形鼻钳等基本工具。外科医生在内窥镜引导下打一个外科结，并用钳子拉动缝线以确保适当的张力。该方法在从鼻中隔成形术到颅底手术的各种手术中均有效，并且在137例患者中未出现不良事件。其优点包括简单、无需专门工具以及易于在不同设施中使用。该技术有潜力推动内镜手术发展，为各种手术应用提供高效解决方案。
