Fuctional endoscopic sinus surgery is the treatment for sinusitis, which aims at preserving the functional anatomy of the nose. There are two approaches:
The steps of functional endiscopic sinus surgery include:
Powered endoscopic sinus surgery refers to use of microdebrider. It is the most common instrument used nowadays for surgical treatment of chronic rhinosinusitis. The microdebrider is tge powered rotatory shaving device that provides atraumatic dissection by resecting tissue precisely and minimizing mucosal trauma and stripping.
The advantage of microdebrider over the traditional surgical technique are:
The disadvantages include:
Powered devices are helpful as an alternate to remove the antral portion of the antochoanal polyp with minimal morbidity. The openings of maxillary and sphenoid sinuses and revision of frontal and sphenoidal recess is also easier and safer with minimal complications.