A COMPARATIVE STUDY OF THE EFFICACY OF POWERED (MICRO DEBRIDER) INSTRUMENTS AND STANDARD TECHNIQUES IN ENDOSCOPIC SINUS SURGERY FOR SINONASAL POLYPOSIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 43
Abstract
Endoscopic Sinus Surgery (ESS) is the surgical procedure of choice for Sinonasal Polyposis (SP). Bleeding during Endoscopic Sinus Surgery can interrupt the flow of surgery. The standard instruments grab and tear diseased tissues along with normal tissues causing increased intraoperative bleeding leading to decreased visibility and thus less precise surgery. The advent of powered instruments (Microdebrider), allowed easy dissection with minimal bleeding giving surgeon a clear uninterrupted surgical field. With acknowledgement of the fact that use of microdebrider leads to comfortable dissection and decreased rate of intra-operative complications. We endeavoured to find whether there are any long term benefits of use of microdebrider. MATERIALS AND METHODS Our patient population comprised 50 patients who underwent Endoscopic Sinus Surgery for SP from Aug 2011 to Jun 2012. All surgeries were performed with either the microdebrider (Group 1) or Standard (Group 2) instruments. We evaluated them preoperatively for degree of nasal obstruction (NOSE Score), quality of life (SF-12), nasal epithelial function (Saccharin test) and olfactory status. The same were evaluated 6 months post-op and comparisons were made between two groups. RESULTS After statistical analysis we found that there was no statistically significant difference between the two groups preoperatively and post-operatively in terms of above mentioned parameters. However, both groups showed significant improvement in parameters when assessed individually. CONCLUSION We concluded that use of microdebrider does not offer any long-term benefits over standard instruments in Endoscopic Sinus Surgery for SP
Authors and Affiliations
Tarun , Jeevan Galagali, Sanajeet Singh, Suresh , Nikhil
Keywords
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- EP ID EP128581
- DOI 10.14260/jemds/2016/633
- Views 78
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