INTRODUCTION The design of a surgical rotary vacuum shaver as a predecessor to the microdebrider has been attributed to Urban in 1968. His targeted use of this device to assist in the removal of acoustic neuromas did not find general use. Powered shavers were subsequently adopted in the field of orthopedic surgery and reintroduced successfully in the 1990s into otolaryngology for use in endosco...

OBJECTIVES/HYPOTHESIS There is a paucity of experience in the published literature documenting complications of powered surgical instruments in laryngologic surgery. Our objective was to ascertain the nature of these complications from expert opinion and review of the literature, and to recommend strategies to decrease major complications. STUDY DESIGN Review of the literature and an e-mail s...

We describe here our experience in using sinus microdebrider to rapidly debulk and sculpt the tissues in cases of rhinophyma correction. We utilized the use of the 4 mm M4 Rotatable Cutting Straight Sinus Blade on a straight Straightshot M4 Microdebrider by Medtronic at 800 rpm oscillation which is normally utilised in our sinus surgery practice. The microdebrider is straightforward to use and ...

Objective: To compare the safety and efficacy of microdebrider assisted partial inferior turbinectomy with the conventitional turbinectomy in patients with inferior turbinate hypertrophy. Design: Prospective randomized single blinded study. Setting: Academic Medical Center. Patients & Methods: Sixty patients with nasal obstruction and bilateral hypertrophied nasal turbinates that was refractory...

OBJECTIVES 1) To apply perceptual and acoustic voice assessments to children treated for juvenile-onset recurrent respiratory papillomatosis (JORRP); 2) to compare voice outcomes following treatment for JORRP using microdebrider versus carbon dioxide (CO(2)) laser. STUDY DESIGN Prospective cohort study. SETTING This study was conducted at a tertiary pediatric academic center (March 2008-Mar...

OBJECTIVE To assess the advantages of powered instrumentation vs the carbon dioxide laser in treating patients with juvenile-onset recurrent respiratory papillomatosis. DESIGN A retrospective study. SETTING Tertiary care children's hospital. PATIENTS Patients operated on for juvenile-onset recurrent respiratory papillomatosis between January 1, 1999, and December 31, 2000. Papillomas were...

The mainstay of treatment of children with recurrent respiratory papillomatosis has been CO2 laser laryngoscopy. Powered microdebriders allow precise removal of laryngeal lesions without thermal damage. The microdebrider may reduce costs by reducing operative time and limiting the need for expensive laser-related equipment. To compare the use of the microdebrider with that of the CO2 laser in c...

BACKGROUND Central airway obstruction is a common complication of lung cancer. The microdebrider is a new device available for treatment of central airway obstruction. CASE DESCRIPTION We report a case a 59-yr-old male with T3N2M1 non-small cell lung cancer with malignant distal left mainstem obstruction treated successfully with a novel elongated rotating tip microdebrider via rigid bronchos...

OBJECTIVE To compare postoperative patient discomfort, voice quality, and procedure time and cost for removal of recurrent respiratory papillomas using the microdebrider versus the CO2 laser. STUDY DESIGN A randomized prospective study comparing children undergoing excision of recurrent respiratory papillomas by CO2 laser versus excision by microdebrider. METHODS For the 6-month study, pati...

In order to relieve the symptoms of nasal obstruction in patients with inferior turbinate hypertrophy, various surgical methods have been used. Aim of this study was to compare post-operative outcome between radiofrequency and microdebrider-assisted partial turbinoplasty. A prospective study was performed in 268 patients with nasal obstruction and hypertrophied turbinate mucosa refractory to me...