Use of CADISS® medical devices for the cleavage of severe adhesions in the surgery of chronic otitis.
Objective : Verify the efficacy, usefulness, and ergonomics of the CADISS® device. The criterion was the capability to detach the maleus handle from the tympanic membrane by the CADISS® System, without cutting instruments.
Methodology : Open prospective study on 10 patients with cholesteatoma withdrawal and tympanoplasty.
Conclusion : Dissection was successful in all cases and satisfaction high on all counts, except bleeding reduction which was nor significant.
Yilmaz M, Goksu N, Bayramoglu I, Bayazit YA. Practical use of Mesna in atelectatic ears and adhesive otitis media. Otorhinolaryngol Relat Spec. 2006;68(4):195-8.7
Casale M, Di Martino A, Salvinelli F, Trombetta M, Denaro V. Mesna for chemically assisted tissue dissection. Expert Opin Investig Drugs 2010;19(6): 699-707.
Vincenti V, Magnan J, Saccardi MS, Zini C. Chemically assisted dissection by means of Mesna in cholesteatoma surgery. Otol. Neurotol, 2014;35(10):1819-24.
Think- Tank in Otolaryngology – ENT innovations and pears: Chemical Assisted anatomical DISSection (CADISS®) in middle ear surgery, ITALY (22/03/2021).
Lecturer : Dr. Marta Sandoval. M.D., Ph.D. ENT Department. Hospital Clinic de Barcelona, Associate Professor, Universitat de Barcelona
Moderator : Pr. Livio Presutti. Professore ordinario Dipartimento di Medicina Specialistica, Diagnostica e Sperimentale.
« The CADISS® system is easy to use and facilitates the surgery of chronic otitis media. There is less risk to damage organs and the cholesteatoma can be removed en bloc limiting the risk of relapses. The duration of surgeries is significantly reduced. »
Pr. Roberto Albera
Head of ENT department (Molinette Hospital). Turin, Italy
« CADISS® makes the dissection easier, faster and more effective. The cholesteatoma seemed to immediately loosing grip from the tissues and OCR after a minute, or less, from the immersion. »
Pr. Marta Sandoval
Professor at the University of Barcelona & Specialist at the ENT department at Hospital Clinic de Barcelona. Spain
« CADISS has become an important instrument for my daily surgery to deal with tympanic membrane retractions, primary and recurrence of middle ear cholesteatomas. It is an easy instrument to use and helps remove the whole disease form the middle ear. Looking forward to get more experience with it! »
Pr. Manuele Casale
Head of Integrated Therapies in Otolaryngology & full Professor of Otolaryngology. (Università Campus Bio-Medico di Roma | unicampus) · Rome, Italy.
« Very useful tool in ENT surgery. It could have various new applications. »
