Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments

Abstract 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 for...

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Main Authors: Tomotaka Hemmi, Kazuhiro Omura, Kazuhiro Nomura, Teppei Takeda, Satoshi Aoki, Teru Ebihara
Format: Article
Language:English
Published: Wiley 2025-04-01
Series:OTO Open
Subjects:
Online Access:https://doi.org/10.1002/oto2.70137
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author Tomotaka Hemmi
Kazuhiro Omura
Kazuhiro Nomura
Teppei Takeda
Satoshi Aoki
Teru Ebihara
author_facet Tomotaka Hemmi
Kazuhiro Omura
Kazuhiro Nomura
Teppei Takeda
Satoshi Aoki
Teru Ebihara
author_sort Tomotaka Hemmi
collection DOAJ
description Abstract 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.
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issn 2473-974X
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publishDate 2025-04-01
publisher Wiley
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spelling doaj-art-95c5bfdef1fe4f3bac08efd607c334f12025-08-20T03:30:19ZengWileyOTO Open2473-974X2025-04-0192n/an/a10.1002/oto2.70137Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special InstrumentsTomotaka Hemmi0Kazuhiro Omura1Kazuhiro Nomura2Teppei Takeda3Satoshi Aoki4Teru Ebihara5Department of Otolaryngology Japanese Red Cross Ishinomaki Hospital Ishinomaki Miyagi JapanDepartment of Otolaryngology The Jikei University School of Medicine Minato‐Ku Tokyo JapanDepartment of Otolaryngology Tohoku Kosai Hospital Sendai Miyagi JapanDepartment of Otolaryngology The Jikei University School of Medicine Minato‐Ku Tokyo JapanDepartment of Otolaryngology Dokkyo Medical University Saitama Medical Center Koshigaya Saitama JapanDepartment of Otolaryngology The Jikei University School of Medicine Minato‐Ku Tokyo JapanAbstract 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.https://doi.org/10.1002/oto2.70137endoscopic surgeryknot‐tyingnasal cavityskull basewound closure
spellingShingle Tomotaka Hemmi
Kazuhiro Omura
Kazuhiro Nomura
Teppei Takeda
Satoshi Aoki
Teru Ebihara
Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments
OTO Open
endoscopic surgery
knot‐tying
nasal cavity
skull base
wound closure
title Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments
title_full Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments
title_fullStr Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments
title_full_unstemmed Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments
title_short Endoscopic Knot‐Tying of the Nasal Cavity and Skull Base Without Special Instruments
title_sort endoscopic knot tying of the nasal cavity and skull base without special instruments
topic endoscopic surgery
knot‐tying
nasal cavity
skull base
wound closure
url https://doi.org/10.1002/oto2.70137
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