Advances in Microdebrider Technology: Improving Functionality and Expanding Utility

Dennis Tang; Brian C Lobo; Brian D'Anza; Troy D Woodard; Raj Sindwani

doi:10.1016/j.otc.2017.01.009

Advances in Microdebrider Technology: Improving Functionality and Expanding Utility

Otolaryngol Clin North Am. 2017 Jun;50(3):589-598. doi: 10.1016/j.otc.2017.01.009. Epub 2017 Mar 31.

Authors

Dennis Tang¹, Brian C Lobo¹, Brian D'Anza², Troy D Woodard¹, Raj Sindwani³

Affiliations

¹ Section of Rhinology and Skull Base Surgery, Minimally Invasive Cranial Base & Pituitary Surgery Program, Head and Neck Institute, Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic Foundation, 9500 Euclid Avenue #A-71, Cleveland, OH 44195, USA.
² Section of Rhinology and Skull Base Surgery, Department of Otolaryngology, University Hospitals-Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
³ Section of Rhinology and Skull Base Surgery, Minimally Invasive Cranial Base & Pituitary Surgery Program, Head and Neck Institute, Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic Foundation, 9500 Euclid Avenue #A-71, Cleveland, OH 44195, USA. Electronic address: sindwar@ccf.org.

PMID: 28372812
DOI: 10.1016/j.otc.2017.01.009

Abstract

Since its application in nasal surgery, the microdebrider has revolutionized the practice of endoscopic sinus surgery. As the demands and breadth of procedures performed endoscopically have increased, so has the need for improvement in the microdebrider and related technologies. This article addresses how use of the microdebrider has impacted endonasal surgery and discusses current advances, which include creation of specialty hand pieces and blades, increases in instrument rotational speed, incorporation of navigation and energy, adaptation for intracranial use, and disposable instrumentation designed for in office use. Advances in microdebrider technology have improved functionality and expanded the utility of these devices.

Keywords: Drill; Endoscopic; Microdebrider; Polyps; Powered instrumentation; Sinus surgery; Skull base surgery.

Publication types

Review

MeSH terms

Debridement / instrumentation*
Endoscopy
Equipment Design
Hemostasis, Surgical / instrumentation
Humans
Nasal Polyps / surgery*
Nasal Surgical Procedures / instrumentation*
Skull Base / surgery*
Surgery, Computer-Assisted