Dalke Krzysztof, Burduk Paweł, Mierzwiński Józef, Kaźmierczak Henryk
Katedra i Klinika Otolaryngologii Collegium Medicum im L Rydygiera w Bydgoszczy, Uniwersytet Mikołaja Kopernika.
Otolaryngol Pol. 2006;60(1):37-40.
Rotation suction knife (shaver or microdebridor) was developed in beginning 1985 in orthopedic surgery. In the field of otolaryngology it was used in 1992-1994. Shaver is a combination of suction and cutting round knife working together. Knives of different shapes are put into handpiece. They have outer sheath with window, which protect the inner rotating blade. The blade is connected to suction and cutting tissue is removed from the operation field. In otolaryngology surgery we mostly used the oscillation cutting mode which is the most sufficient. Shaver surgery is precise in soft tissue resection, so the most advantages to powered the system is in rhinosurgery, polypectomy with extension to pansinus surgery. Microdebridor can be also used for nasopharynx-adenoidectomy, chonanal atresia surgery, turbinoplasty, dacryocystorhinostomy, sella turcica tumor resection or laryngeal surgery.
We used the Storz's shaver system with a handpiece with a motor in the vertical part of the T-shaped handle. Suction and transport of rejected material does not pass through the motor system. The suction channel is straight and clogging is minimized. We performed shaver surgery during functional endonasal endoscopic surgery (FESS) for polypectomy in 15 cases, medial antrostomy (uncinectomy for "swinging door" procedure) in 10 cases, nasopharyngeal-adenoidectomy in 3 cases and turbinoplasty (inferior turbinectomy) in 10 cases.
In our material we did not observe any complications during and after surgery. The healing process is very good without obstruction and crusting. The shaver system has an excellent protection for surrounding tissue and minimalized the tissue destruction.
Shaver is an excellent powered instruments for rhinosurgery especially massive polyps of nose and sinuses. It is very sufficient to prevent normal tissue and remove pathological one, this can be achieved in no bleeding area.
旋转吸引刀（剃须刀或微型清创器）于1985年初在骨外科领域研发。1992 - 1994年在耳鼻喉科领域开始使用。剃须刀是一种将吸引和圆形切割刀结合在一起工作的器械。不同形状的刀头被安装在手持部件中。它们有带窗口的外鞘，用于保护内部旋转刀片。刀片连接到吸引装置，切除的组织被从手术区域吸出。在耳鼻喉科手术中，我们大多使用振荡切割模式，这种模式最为有效。剃须刀手术在软组织切除方面很精确，因此该系统在鼻科手术、息肉切除并扩展至全鼻窦手术中优势最为明显。微型清创器还可用于鼻咽腺样体切除术、后鼻孔闭锁手术、鼻甲成形术、泪囊鼻腔吻合术、蝶鞍肿瘤切除术或喉部手术。
我们使用了史托斯（Storz）剃须刀系统，其手持部件的电机位于T形手柄的垂直部分。被切除物质的吸引和输送不经过电机系统。吸引通道是直的，堵塞风险降至最低。我们在功能性鼻内镜手术（FESS）期间进行了剃须刀手术，其中15例用于息肉切除，10例用于内侧鼻窦开口术（用于“摆动门”手术的钩突切除术），3例用于鼻咽腺样体切除术，10例用于鼻甲成形术（下鼻甲切除术）。
在我们的病例中，手术期间及术后均未观察到任何并发症。愈合过程非常良好，无阻塞和结痂现象。剃须刀系统对周围组织有极好的保护作用，使组织破坏最小化。
剃须刀是鼻科手术中一种出色的动力器械，尤其适用于鼻腔和鼻窦的巨大息肉。它在防止正常组织受损并切除病变组织方面非常有效，可在无出血区域实现这一点。
