Study of the mechanical properties of three commonly used mastoid drills disclosed major differences in their power and potential for heat production. Based on available information regarding heat tolerance of neural tissue, all drills were found capable of producing hazardous temperature elevations. After testing several irrigation techniques, continuous and copious suction irrigation was found to be most effective in preventing bone heating.
Get full access to this article
View all access options for this article.
References
1.
SaundersWHPaparellaMM: Atlas of Ear Surgery. St Louis, CV Mosby Co, 1968, p 13.
2.
ShambaughGE: Surgery of the Ear. Philadelphia, WB Saunders Co, 1959, pp 138–139.
RiceDH: Preoperative and postoperative hearing loss in chronic ear disease. Ear Nose Throat55: 287–290, 1976.
5.
GlasscockMEMillerGWDrakeFD: Surgical management of Meniere's disease with endolymphatic subarachnoid shunt: A five-year study. Laryngoscope87: 1668–1675, 1977.
6.
CallWH: Thermal injury from mastoid bone burrs. Ann Otol Rhinol Laryngol87: 43–49, 1978.
7.
ErdreichJKeimRJLoveTJ: Thermal hazard during mastoid surgery. Ann Otol Rhinol Laryngol, 88: 387–391, 1979.
8.
MathewsLSHirschC: Temperatures measured in human cortical bone when drilling. J Bone Joint Surg54-A: 297–308, 1972.
9.
CostichERYoungbloodPJWaldernJM: A study of the effects of high speed rotary instruments on bone repair in dogs. Oral Surg17: 563–573, 1964.
10.
AndersonRFinlaysonBI: Sequelae of transfixion of bone. Surgery13: 46–54, 1943.
11.
BarnardJWFryWJFryFJ: Effect of high intensity ultrasound on the central nervous system of the cat. J Comp Neurol103: 459–484, 1955.
12.
AgrenEArwillT: High speed or conventional dental equipment for removal of bone in oral surgery, III. Acta Odontol Scand22: 223–246, 1968.
13.
AgrenE: High speed or conventional dental engines for the removal of bone in oral surgery, II. Acta Odontol Scand16: 261–294, 1964.
14.
SamsWMJr.WinkelmannRK: Temperature effects on isolated resistance vessels of skin and mesentery. J Physiol216: 112–116, 1969.
15.
LundbergA: Potassium and the differential thermosensitivity of membrane potential, spike and negative afterpotential in mammalian A and C fibers. Acta Physiol Scand15 (suppl 50): 1–67, 1948.
16.
AngellJDaltonGFreundlichH: Histological, thermal, and biochemical effects of ultrasound on the labyrinth and temporal bone. Acta Otolaryngol57: 306–312, 1964.
17.
AndersonTPWakimKGHerrickJF: An experimental study of the effects of ultrasonic energy on the lower part of the spinal cord and peripheral nerves. Arch Phys Med Rehabil32: 71–83, 1951.