Pneumatic Kerrison rongeur: technical note

Maroon, Joseph C.; El-Kadi, Matt; Bost, Jeffrey

doi:10.1016/j.surneu.2008.10.008

Cited by 7 publications

(9 citation statements)

References 3 publications

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“…Several modifications of the Kerrison rongeur have improved its function. 17 , 18 The Rebellion/Phantom device (Morpheus AG) improves upon the traditional Kerrison rongeur in a number of ways ( Figure 5 ). The blade advances across a 14-mm opening, which cuts through bone without compressing it, preserving the cancellous structure when needed for autografts.…”

Section: Discussionmentioning

confidence: 99%

New Medical Device and Therapeutic Approvals in Otolaryngology: State of the Art Review of 2021

et al. 2022

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Objective To evaluate new medical devices and drugs pertinent to otolaryngology–head and neck surgery that were approved by the Food and Drug Administration (FDA) in 2021. Data Sources Publicly available FDA device and drug approvals from ENT (ear, nose, and throat), anesthesia, neurosurgery, plastic surgery, and general surgery FDA committees. Review Methods FDA device and therapeutic approvals were identified and reviewed by members of the American Academy of Otolaryngology–Head and Neck Surgery’s Medical Devices and Drugs Committee. Two independent reviewers assessed the relevance of devices and drugs to otolaryngologists. Medical devices and drugs were then allocated to their respective subspecialty fields for critical review based on available scientific literature. Conclusions The Medical Devices and Drugs Committee reviewed 1153 devices and 52 novel drugs that received FDA approval in 2021 (67 ENT, 106 anesthesia, 618 general surgery and plastic surgery, 362 neurosurgery). Twenty-three devices and 1 therapeutic agent relevant to otolaryngology were included in the state of the art review. Advances spanned all subspecialties, including over-the-counter hearing aid options in otology, expanding treatment options for rhinitis in rhinology, innovative laser-safe endotracheal tubes in laryngology, novel facial rejuvenation and implant technology in facial plastic surgery, and advances in noninvasive and surgical treatment options for obstructive sleep apnea. Implications for Practice FDA approvals for new technology and pharmaceuticals present new opportunities across subspecialties in otolaryngology. Clinicians’ nuanced understanding of the safety, advantages, and limitations of these innovations ensures ongoing progress in patient care.

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Section: Discussionmentioning

confidence: 99%

New Medical Device and Therapeutic Approvals in Otolaryngology: State of the Art Review of 2021

et al. 2022

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“…Compared to the pneumatic Kerrison rongeur, there is no need for installation and additional training for the nurses. As in the pneumatic rongeur, our new model with the improvements in ergonomics of the handle and its mechanism may therefore reduce the rate of arthritis, carpal tunnel syndrome and pain in surgeon's hands and fingers, which are common problems for spine surgeons throughout their careers [1,8].…”

Section: Discussionmentioning

confidence: 99%

“…The Kerrison rongeur is used in about 80-100% of decompression surgery cases [1]. Together with the drill, it is probably the most commonly used instrument for this type of surgery.…”

Section: Introductionmentioning

confidence: 99%

“…Strömqvist et al concluded in their register study that a dural lesion is a technical problem, which has to be solved during surgery [2]. It has also been reported that manual bone removal, when done over the course of several years, can lead to manual fatigue, tenderness, soreness in the hands and elbows, and as well as Carpal tunnel syndrome [1,8].…”

Section: Introductionmentioning

confidence: 99%

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A new parallel closing mechanism for the laminectomy rongeur makes it significantly more precise: a biomechanical and mechanical comparison study

et al. 2017

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“…A review of the Pneumatic Kairison Bone Punch in 125 consecutive operations found the device to be safe, effective, and reduce manual fatigue and hand discomfort during bone removal in spinal surgeries. However, there was a loss of tactile feel, and the use of a standard Kerrison was recommended for more sensitive parts of the decompression 58…”

Section: Improvement Of Safety and Ergonomics In Spine Surgerymentioning

confidence: 99%

Ergonomics in Spine Surgery

Kolz

Wagner

Vaccaro

et al. 2021

Clinical Spine Surgery: A Spine Publication

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As physician burnout and wellness become increasingly recognized as vital themes for the medical community to address, the topic of chronic work-related conditions in surgeons must be further evaluated. While improving ergonomics and occupational health have been long emphasized in the executive and business worlds, particularly in relation to company morale and productivity, information within the surgical community remains relatively scarce. Chronic peripheral nerve compression syndromes, hand osteoarthritis, cervicalgia and back pain, as well as other repetitive musculoskeletal ailments affect many spinal surgeons. The use of ergonomic training programs, an operating microscope or exoscope, powered instruments for pedicle screw placement, pneumatic Kerrison punches and ultrasonic osteotomes, as well as utilizing multiple surgeons or microbreaks for larger cases comprise several methods by which spinal surgeons can potentially improve workspace health. As such, it is worthwhile exploring these areas to potentially improve operating room ergonomics and overall surgeon longevity.

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Pneumatic Kerrison rongeur: technical note

Cited by 7 publications

References 3 publications

New Medical Device and Therapeutic Approvals in Otolaryngology: State of the Art Review of 2021

New Medical Device and Therapeutic Approvals in Otolaryngology: State of the Art Review of 2021

A new parallel closing mechanism for the laminectomy rongeur makes it significantly more precise: a biomechanical and mechanical comparison study

Ergonomics in Spine Surgery

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