COMPARATIVE STUDY OF MICRODEBRIDER AND CONVENTIONAL INSTRUMENTS IN ENDOSCOPIC SINUS SURGERY FOR SINONASAL POLYPOSIS
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Keywords
Sinonasal polyposis, Microdebrider, Endoscopic sinus surgery, Blood loss, Operative time
Abstract
OBJECTIVE To evaluate and compare the benefits of endoscopic sinus surgery using microdebrider and conventional instruments in terms of various intra and post-operative parameters.
MATERIAL & METHODS The study comprises of 70 patients who consented to undergo endoscopic sinus surgery. The patients were randomised into two groups: group A-Conventional instruments and group B- Microdebrider assisted.
RESULTS There is significant decrease in intraoperative blood loss and surgery duration in group B whereas there is no significant difference between two groups in terms of development of post-operative synechiae and recurrence.
CONCLUSION Use of powered instruments like microdebrider improves the intraoperative parameters but fails to significantly impact the long term post-operative symptoms or complications.
References
2. Textbook of Anatomic Principles of Endoscopic Sinus Surgery: A step by step Approach, Author Renuka Bradoo Pages 54-56
3. Hoang JK, Eastwood JD, Tebbit CL, Glastonbury CM: Multiplanar sinus CT: A systematic approach to imaging before FESS. AJR Am J Roentgenol (2010) June
4. Becker DG: Powered Instrumentation in surgery of the Nose and Paranasal sinuses. Otolaryngol Head Neck Surgery 8(1): page 18-21, 2000
5. Hackman TG, Ferguson BJ, Powered Instrumentation and soft tissue effects in the nose and paranasal sinuses. Curr Opin Otolaryngol Head Neck Surgery. 2005 Feb: 13 (1): page 22-26
6. Saafan ME, Ragab SM, Albirmawy OA, Elsherif HS: Powered versus Conventional Endoscopic sinus surgery instruments in management of sinonasal polyposis. Eur Ach Otolaryngol 2012 Apr 10
7. Krouse JH, Christmas DA Jr: Powered Instrumentation in functional endoscopic sinus surgery II: AComparative study. Ear Nose Throat Journal 1996: 75(1): 42
8. R Singh, Hazarika P, Nayak D, Balakrishan R, Gangwar N, Hazarika M: A comparative study of microdebrider assisted endoscopic sinus surgery and Conventional endoscopic sinus surgery for nasal polypi. Indian Journal of Otolaryngology Head & Neck Surgery 30 November 2011, page 1-4
9. Kumar N, Sindwani R: Benefits with microdebrider surgery during nasal polyposis surgery. Laryngoscope (2009) 119:4375(1), page 42-44
10. Bettega S, Soccol AT, Koerner HN, Mocellin M: Epidemiological analysis in patients with nasal polyps. Int. Arch. Otorhinolaryngol 2007:11(3), page 223-24
11. Selivanova O, Kuehnemund M, Mann WJ, Amedee RG: Comparison of Conventional instruments and mechanical debriders for surgery of patients with chronic sinusitis. Am J Rhinol: 2003;17(4): page 197-202
12. Kaipuzha R, Venkatramanujam N, Kartikeyan P, Pullimotil D: Comparison of microdebrider assisted endoscpic sinus surgery and conventional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyposis. Romanian Journal of Rhinology. 2019:5(1): page 91-95
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Dr Souvagini Acharya
Professor & HOD, Dept of ENT, VIMSAR, Burla
Dr Gurugobinda Mallick
Junior Resident, Dept of ENT,VIMSAR, Burla
Dr Nilamadhaba Prusty Prusty
Assistant Professor, Dept of ENT, FMMCH, Balasore
Dr Suman Kar Kar
Junior Resident, Dept of ENT, VIMSAR, Burla
Dr Swati Agasti
Junior Resident, Dept of ENT, VIMSAR, Burla