title: Endoscopic resection of laryngeal and tracheal lesions using the microdebrider.
abstract: CONCLUSIONS
  Endoscopic resection of laryngeal and tracheal lesions using the microdebrider is a safe, accurate and reliable method.
  
  
  OBJECTIVE
  The microdebrider is an important tool for endoscopic nasal and sinus surgery and over the last few years a powered blade with a long shaft has been developed for endoscopic laryngeal and tracheal surgery. The aim of this non-randomized prospective study was to determine the advantages and disadvantages of the microdebrider for treating patients with different laryngeal and tracheal pathologies.
  
  
  METHODS
  The laryngeal microdebrider was used under endoscopic control in 37 patients. In 29 cases a benign laryngeal lesion was removed endoscopically. In four patients debulking of a malignant obstructive endolaryngeal tumor was performed in order to avoid a tracheotomy. In four cases a bulky obstructing endotracheal lesion was removed.
  
  
  RESULTS
  All laryngotracheal lesions could be removed, and this was facilitated by the use of angled rigid telescopes and the laryngeal blade. No traumatic lesions to normal laryngeal tissue occurred as a result of use of the microdebrider and no postoperative endolaryngeal bleeding was observed. The histological diagnosis of the biopsies taken with the microdebrider was accurate in every case. In three of the four cases with obstructive laryngeal malignancies, a tracheotomy was avoided until definitive therapy was undertaken. Normal breathing was restored in all patients with endotracheal lesions.
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, University of Berne, Inselspital, Berne, Switzerland. michel.nuyens@insel.ch
authors.forename: Michel
authors.initials: M
authors.lastname: Nuyens
authors.forename: Peter
authors.initials: P
authors.lastname: Zbären
authors.forename: Eberhard
authors.initials: E
authors.lastname: Seifert
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003646:Debridement / Q000295:instrumentation*; D004417:Dyspnea / Q000209:etiology; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007818:Laryngeal Diseases / Q000601:surgery*; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D014133:Tracheal Diseases / Q000601:surgery*; D016896:Treatment Outcome