Bruggers Seth, Sindwani Raj
Department of Otolaryngology-Head and Neck Surgery, St Louis University, 6th Floor FDT, 3635 Vista Avenue at Grand Boulevard, St Louis, MO 63110, USA.
Otolaryngol Clin North Am. 2009 Oct;42(5):789-98, viii. doi: 10.1016/j.otc.2009.08.016.
The modern rhinologist has a wide variety of powered tools at his or her disposal. Innovations in powered instrumentation include the suction-irrigation drill, the coblator, and the introduction of a bone-cutting ultrasonic aspirator. The primary drawback of powered instruments continues to be the higher costs associated with their use, whereas their main advantage is the ability to accomplish multiple functions, such as bone removal, suction, and irrigation, with one tool. The effective use of any powered instrument requires an intimate understanding of its capabilities and limitations. This article provides a brief review of powered instrumentation used in endoscopic sinus and skull base surgery and explores the history, technical details, and potential applications of these exciting tools. Evolution in the design and functioning of the microdebrider are discussed elsewhere.
现代鼻科医生有各种各样的电动工具可供使用。电动器械的创新包括吸灌钻、射频消融器以及骨切割超声吸引器的引入。电动器械的主要缺点仍然是使用成本较高，而其主要优点是能够用一种工具完成多种功能，如骨切除、吸引和冲洗。有效使用任何电动器械都需要深入了解其功能和局限性。本文简要回顾了用于鼻内镜鼻窦和颅底手术的电动器械，并探讨了这些令人兴奋的工具的历史、技术细节和潜在应用。微型切割器在设计和功能方面的发展在其他地方讨论。
