Paulsen K
Arch Otorhinolaryngol. 1977 Jan 19;214(3):191-8. doi: 10.1007/BF00458314.
The mode of operation of grinding faces, rod diamonds and diamond grinding heads which are expecially employed in oto-surgery was investigated in slow motion pictures with the aid of high frequency cinematography. The R.P.M. ranged between 5,000-80,000, the picture frequency was usually 6,000 pictures per second. Full efficiency of the diamond grinding heads (DS) is only guaranteed by adequate flushing. Water stream flushing and drop flushing (drop sequence depending on R.P.M.) must be centered on the grinding head, as increased soiling due to filling of the diamond surface occurs otherwise. Because of the fixed mounting of the spray tube in the direction of the shaft, spray flushing is most useful, although not unsable for diamond faces. Due to its very fine-rough surface, the DS produces grinding dust by abrasion from the bone or cartilage which is readily distributed in the airspace over the whole working area. The same does also apply to finely atomized fluid sprays. Cutting is performed tangentially. The percussing DS touches the bone only with a small part of its surface and easily gets soiled. Depending on the R.P.M., the cutting speed was 10,000-80,000 R.P.M. These values also apply for the fluid dropping rate. Contrary to the rose bit or the surgical fraises, the DS got soiled more easily and produced definitely finer cuts.
借助高频电影摄影术,以慢动作影片对特别用于耳外科手术的磨面、棒状金刚石和金刚石磨头的操作模式进行了研究。转速在5000至80000转/分钟之间,画面频率通常为每秒6000帧。只有通过充分冲洗才能确保金刚石磨头(DS)的全部效能。水流冲洗和滴注冲洗(滴注顺序取决于转速)必须对准磨头,否则由于金刚石表面堆积会导致污染增加。由于喷管沿轴的方向固定安装,喷雾冲洗最为有效,不过对金刚石磨面也并非不可用。由于DS表面非常精细粗糙,它通过磨损骨头或软骨产生磨屑,这些磨屑很容易在整个工作区域的空域中扩散。这同样适用于细雾化的液体喷雾。切割是沿切线方向进行的。敲击式DS仅以其表面的一小部分接触骨头,且容易弄脏。根据转速,切割速度为10000至80000转/分钟。这些数值也适用于液体滴注速率。与玫瑰头或外科铣刀相反,DS更容易弄脏,且切割肯定更精细。