VIDEO FUNCTIONAL ENDOSCOPIC SINUS SURGERY WITH MICRODEBRIDER

Endoscopic diagnostic examinations in conjunction with modern imaging methods, particularly CT Scan, have proven to be an ideal combination in recent years and are already accepted as the “Standard of Care” in many parts of the world for sinus diseases.  As a logical consequence of diagnostic findings, an endoscopic -surgical concept has resulted which is directed at the diseased areas in key positions of the lateral nasal wall.  Using less traumatic interventions a cure was possible in the majority of all cases of chronic sinusitis, without having to resort to the more radical surgical methods that have been implemented up to now.  Endoscopy should therefore primarily help in avoiding unnecessary operations and unnecessarily radical surgery.

The quality of such procedures depends on the type of sophisticated equipment utilized.  Thus we have introduced the Sony monitor, latest Storz camera along with the powerful Xenon light source which gives very little scope for errors due to poor lighting.  The latest addition is the third generation microdebrider which has revolutionized sinus surgery totally.  The microdebrider is a powered instrument which is particularly suited for removing polyps and diseased mucosa.  Since only tissue which has been suctioned in is cut off, unintentional injury to vital structures is easily avoided.  Working with constant suction simultaneously removes blood during surgery and cuts down operating time immensely.  This instrument also avoids pulling and tearing of normal mucosa which leads to more bleeding.  The gentle handling of the tissues also cuts down the healing time postoperatively.  At present there are very few centres in India possessing this useful instrument and we are proud to claim that we are one of the first to possess one. 

Since the introduction of the endoscopic technique the spectrum of indications has widened considerably.  Not only cases of Chronic and polypoid sinusitis can be controlled today, but also imminent complications of acute sinusitis, mucocoeles, cerebrospinal fluid leaks and a host of other sinus related diseases can be tackled endoscopically.

We at the centre always strive to offer our patients the best of treatment available.