A Comparison of Microdebrider Assisted Endoscopic Sinus Surgery and Conventional Endoscopic Sinus Surgery for Nasal Polypi

Singh, Rohit and Hazarika, Produl and Nayak, Dipak Ranjan and Balakrishnan, R and Gangwar, Navneeta and Hazarika, Manali (2013) A Comparison of Microdebrider Assisted Endoscopic Sinus Surgery and Conventional Endoscopic Sinus Surgery for Nasal Polypi. Indian Journal of Otolaryngology and Head & Neck Surgery, 65 (3). pp. 193-196.

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Abstract

Nasal polyposis is often encountered in rhinology practice. Those who fail conservative manage- ment, a definitive surgery is essential to achieve sufficient ven- tilation and drainage of the affected sinuses by using either microdebrider or conventional instruments for functional endoscopic sinus surgery (FESS). A prospective study was conducted on 40 cases of nasal polypi in a tertiary care hos- pital. 20 cases were operated by conventional endoscopic instruments and 20 using the microdebrider. The study aimed at comparing the intra operative (blood loss, duration of sur-gery) and post operative results (crusting, scarring, discharge, symptoms, recurrence) between the two groups using Lund–Mackay scoring system and the data was statistically ana-lysed. There was no statistically significant difference in surgical outcome for patients when either conventional endoscopic instruments or microdebrider was used. However, there was a significant symptomatic improvement in cases undergoing microdebrider FESS. Microdebrider assisted polypectomy is precise, relatively bloodless surgery though the precision depends on the surgeon’s anatomical knowledge and operative skills. Study substantiates that these instruments are helpful but not a prerequisite for successful outcomes in FESS. The study re-emphasises the utility of the microdeb- rider to young learning FESS surgeons

Item Type: Article
Uncontrolled Keywords: Microdebrider;Nasal polypi;Endoscopic sinus surgery
Subjects: Medicine > KMC Manipal > ENT
Depositing User: KMC Manipal
Date Deposited: 30 Sep 2013 04:14
Last Modified: 30 Sep 2013 04:14
URI: http://eprints.manipal.edu/id/eprint/137327

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