Rhinology, Sinus and Skull Base Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Am J Rhinol Allergy. 2012 Jan-Feb;26(1):65-9. doi: 10.2500/ajra.2012.26.3722.
The modern rhinologist has a wide variety of technological innovations at his/her disposal for the removal of soft tissue and bone during endoscopic surgery. We identified and critically evaluated four leading tissue removal technologies that have impacted, or are poised to impact, rhinological surgery.
A literature review was conducted.
Technological functions, strengths and limitations of microdebriders, radio frequency ablation, endoscopic drills, and ultrasonic aspirators were explored. The primary drawback of powered instruments continues to be the higher costs associated with their use, and their main advantage is the ability to accomplish multiple functions such as tissue removal, suction, and irrigation, all with one tool. The effective and safe use of any powered instrument requires an intimate understanding of its function, capabilities, and limitations.
Powered instrumentation continues to play a significant and evolving role in soft tissue and bone removal during rhinologic surgery.
现代鼻科医生在进行内窥镜手术时，有各种各样的技术创新可供选择，用于去除软组织和骨骼。我们确定并批判性地评估了四种对鼻科学手术产生或即将产生影响的主要组织去除技术。
进行了文献回顾。
探讨了微动力系统、射频消融、内窥镜钻和超声吸引器的技术功能、优缺点。动力器械的主要缺点仍然是与使用相关的较高成本，其主要优点是能够完成多种功能，如组织切除、抽吸和冲洗，所有这些都可以用一个工具完成。任何动力器械的有效和安全使用都需要对其功能、能力和局限性有深入的了解。
动力器械在鼻科学手术中的软组织和骨骼去除中继续发挥重要且不断发展的作用。
