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
Related Articles
- EP ID EP128582
- DOI 10.14260/jemds/2016/633
- Views 68
- Downloads 0
COMPARISON OF CLINICAL AND MAMMOGRAPHIC FINDINGS IN BENIGN BREAST DISEASE
BACKGROUND Although, incidence of benign breast disease is 4 - 5 times that of breast malignancy, their diagnosis and treatment has received little attention. Mammography, sonomammography and Fine Needle Aspiration Cytol...
STUDY OF ORAL VERSUS INTRAVENOUS IRON THERAPY IN POSTPARTUM ANAEMIC WOMEN
BACKGROUND Anaemia is a serious nutrition problem affecting millions in developing countries and remains a major challenge for human health and social and economic development. Iron deficiency is thought to be the most c...
POSTOPERATIVE ANALGESIA WITH TRANSDERMAL DICLOFENAC VERSUS INTRAMUSCULAR DICLOFENAC – A COMPARATIVE STUDY
[b] BACKGROUND[/b]: The search for an ideal drug for postoperative analgesia is ongoing. Diclofenac is commonly used drug for this purpose in different routes. AIMS: To compare the efficacy of transdermal diclof...
RESULTS OF CLOSED INTRAMEDULLARY NAILING VS PLATE OSTEOSYNTHESIS IN DIAPHYSEAL FRACTURES OF BOTH BONES FOREARM IN ADULTS
[b]BACKGROUND[/b]: Plate osteosynthesis is the most commonly used technique for the treatment of diaphyseal forearm fractures in adults. However, application of a plate can disrupt the periosteal blood supply...
A STUDY OF CLINICAL PROFILE OF UNRECOGNISED MYOCARDIAL INFARCTION
BACKGROUND Atypical and silent myocardial infarctions were grouped together as unrecognised myocardial infarction. The prognosis for patients with unrecognised myocardial infarction is as serious as that of recognised my...