Bruggers Seth, Sindwani Raj
Department of Otolaryngology-Head & Neck Surgery, St Louis University School of Medicine, 6th Floor FDT, 3635 Vista Avenue at Grand Boulevard, St Louis, MO 63110, USA.
Otolaryngol Clin North Am. 2009 Oct;42(5):781-7, viii. doi: 10.1016/j.otc.2009.07.003.
The microdebrider has been one of the most significant innovations in the field of rhinology. The use of this instrument for endoscopic sinus surgery offers the advantages of mucosal preservation, improved precision, expeditious tissue removal, and better visualization. Recent advances in microdebrider technology now permit 360 degrees, blade rotation, continuous tracking of the instrument using surgical navigation, and the ability to control bleeding with bipolar energy. A variety of specialty blades are also available, each attempting to address a specific operative limitation encountered during endoscopic surgery. To use these devices effectively and safely, the limitations of microdebriders must be appreciated.
微型切割器一直是鼻科学领域最重要的创新之一。在鼻内镜鼻窦手术中使用该器械具有保留黏膜、提高精准度、快速切除组织以及改善视野等优点。微型切割器技术的最新进展现在允许360度刀片旋转、使用手术导航对器械进行连续跟踪以及使用双极能量控制出血。还提供各种特殊刀片，每种刀片都试图解决鼻内镜手术中遇到的特定操作限制。为了有效且安全地使用这些设备，必须了解微型切割器的局限性。
