An illuminated retractor for minimal access surgery in cochlear implantation: How we do it

Riskalla, Andrew; Wall, Kim; O’Connor, Alec Fitzgerald; Jiang, Dan

doi:10.3109/00016481003743068

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…There were no adverse events or any soft tissue complications observed in relation to the use of the new surgical tool, which is in line with a previous study where there were no adverse effects or surgical complications during use of an illuminated retractor in cases that required dural dissection. 3 Additionally, there were no significant differences in the duration of surgery due to the use of the illuminated retractor. However, this new tool could safely facilitate the surgical process by improving the lighting of the surgical cavity.…”

Section: Discussionmentioning

confidence: 90%

“…Therefore, several surgical instruments have been modified to ensure adequate lighting during surgery. 3 One of these tools is the illuminated retractor. Since a retractor with integrated lighting could lead to a shorter surgical time, the focus of this study was to determine whether the use of an illuminated retractor could reduce the duration of CI surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Minimal access surgery has been advocated to reduce the surgical time and the associated rate of CI surgery complications. 1 , 2 It has been further suggested that minimal access surgery may reduce soft tissue complications such as skin flap necrosis and scarring, 3 – 6 which may allow earlier device activation. 7 …”

mentioning

confidence: 99%

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The use of an illuminated retractor in cochlear implantation: a comparative retrospective study

Alrashidi

Almuhawas

Hagr

et al. 2017

Annals of Saudi Medicine

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BACKGROUNDMinimal access surgery has been promoted to reduce the surgical duration and complications of cochlear implant (CI) surgery. A requirement of minimal access surgery is adequate visualization of the surgical cavities.OBJECTIVEThe aim of this study was to evaluate whether a new light-integrated surgical retractor reduced CI surgical time.DESIGNA retrospective comparative study.SETTINGTertiary referral otolaryngology clinic.PATIENTS AND METHODSWe reviewed the records of all patients who received implants between January 2013 to May 2014 at King Abdul-Aziz University Hospital before and after use of the illuminated retractor.MAIN OUTCOME MEASURE(S)Duration of surgery before and after the use of the illuminated retractor.RESULTSThere were no statistically significant differences in the surgical duration of CI relating to use of the illuminated retractor in 117 patients. The mean (SD) surgery duration in the unilateral cases was 132.7 (45.5) minutes before and 125.32 (42.76) minutes after use of the illuminated retractor (P=.479). For the bilateral cases, the mean (SD) surgical time was 213.6 (45.7) minutes before and 206.5 (45.5) minutes after use of the retractor (P=.702). There were no adverse events with use of the new tool.CONCLUSIONThe similar duration and lack of adverse events suggest that the illuminated retractor is safe to use when drilling the bony recess for the receiver-stimulator package within the subperiosteal pocket.LIMITATIONSThe method used to calculate surgical duration may explain why no reduction in duration was shown.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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The use of an illuminated retractor in cochlear implantation: a comparative retrospective study

Alrashidi

Almuhawas

Hagr

et al. 2017

Annals of Saudi Medicine

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“…The majority of modern surgical lighting illuminates from an external source, a dissecting microscope, into a cavity or is mounted on a surgical instrument, such as retractors, endoscopes, orthoscopic tools, and suction tubes [1][2][3][4][5][6]. However, such conventional implements and instruments are unable to provide sufficient lighting during various surgical procedures.…”

Section: Introductionmentioning

confidence: 99%

A Soft, Biocompatible Magnetic Field Enabled Wireless Surgical Lighting Patty for Neurosurgery

et al. 2020

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General surgical procedures are subject to low-light conditions or a narrow angle of view, and such limitations in light limit visibility and complicate the given surgical procedure. Conventional lighted surgical tools rely on an external light source, which may be oriented into a cavity or mounted on a surgical instrument such as retractor, endoscopes, or suction tubes. However, such conventional lighted instruments do not provide adequate lighting during various surgical procedures. Here, we present a soft, miniaturized magnetic-enabled wireless surgical lighting patty. Specifically, the proposed surgical lighting patty that can be temporarily implanted into a cavity or surgical corridor provides lighting to the surgical subject and manages fluids in a surgical field. The surgical lighting patty is a multilayer patty, two outer layers of the lighted surgical patty and the center lighted layer. A reed switch in the central layer can activate the power supply in response to a magnet to emit the light from the light source. The result allows a dramatically simplified wireless operation. Moreover, it can provide various wavelengths of light to a surgical field for purposes such as illuminating the surgeon’s field of vision, exciting dyes, and sterilizing surgical fields.

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Improvements to the retractor and muscle flap design for minimally invasive cochlear implantation

Liu

Tan²,

et al. 2020

Journal of Otology

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An illuminated retractor for minimal access surgery in cochlear implantation: How we do it

Abstract: No adverse effects or surgical complications associated with the use of the Lightmat(®) occurred. It was particularly helpful in the bony dissection to the dura often needed in paediatric cochlear implantation.

Cited by 5 publications

References 8 publications

The use of an illuminated retractor in cochlear implantation: a comparative retrospective study

The use of an illuminated retractor in cochlear implantation: a comparative retrospective study

A Soft, Biocompatible Magnetic Field Enabled Wireless Surgical Lighting Patty for Neurosurgery

Improvements to the retractor and muscle flap design for minimally invasive cochlear implantation

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