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The technique utilizes basic tools like a needle holder, sutures, and bayonet\u2010shaped 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.<\/jats:p>","DOI":"10.1002\/oto2.70137","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T07:26:30Z","timestamp":1750317990000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Endoscopic Knot\u2010Tying of the Nasal Cavity and Skull Base Without Special Instruments"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9860-3293","authenticated-orcid":false,"given":"Tomotaka","family":"Hemmi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Japanese Red Cross Ishinomaki Hospital Ishinomaki Miyagi Japan"},{"name":"Department of Otolaryngology Tohoku Kosai Hospital Sendai Miyagi Japan"},{"name":"Department of Otolaryngology, Head and Neck Surgery Tohoku University School of Medicine Sendai Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Omura","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine Minato\u2010Ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Tohoku Kosai Hospital Sendai Miyagi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teppei","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine Minato\u2010Ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Dokkyo Medical University Saitama Medical Center Koshigaya Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teru","family":"Ebihara","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology The Jikei University School of Medicine Minato\u2010Ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/21526567211034736"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2500\/ajra.2012.26.3791"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-011-0988-3"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1227\/ONS.0000000000000013"},{"issue":"6","key":"e_1_2_9_6_1","article-title":"The time to spontaneous drop of polyglactin 910 (vicryl) in the nasal cavity","volume":"16","author":"Hemmi T","year":"2024","journal-title":"Cureus"}],"container-title":["OTO Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/oto2.70137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:26:06Z","timestamp":1760952366000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/oto2.70137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/oto2.70137"],"URL":"https:\/\/doi.org\/10.1002\/oto2.70137","archive":["Portico"],"relation":{},"ISSN":["2473-974X","2473-974X"],"issn-type":[{"value":"2473-974X","type":"print"},{"value":"2473-974X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70137"}}