title: Advances in Microdebrider Technology: Improving Functionality and Expanding Utility.
abstract: Since its application in nasal surgery, the microdebrider has revolutionized the practice of endoscopic sinus surgery. As the demands and breadth of procedures performed endoscopically have increased, so has the need for improvement in the microdebrider and related technologies. This article addresses how use of the microdebrider has impacted endonasal surgery and discusses current advances, which include creation of specialty hand pieces and blades, increases in instrument rotational speed, incorporation of navigation and energy, adaptation for intracranial use, and disposable instrumentation designed for in office use. Advances in microdebrider technology have improved functionality and expanded the utility of these devices.
authors.affiliation: Section of Rhinology and Skull Base Surgery, Minimally Invasive Cranial Base & Pituitary Surgery Program, Head and Neck Institute, Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic Foundation, 9500 Euclid Avenue #A-71, Cleveland, OH 44195, USA.
authors.forename: Dennis
authors.initials: D
authors.lastname: Tang
authors.affiliation: Section of Rhinology and Skull Base Surgery, Minimally Invasive Cranial Base & Pituitary Surgery Program, Head and Neck Institute, Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic Foundation, 9500 Euclid Avenue #A-71, Cleveland, OH 44195, USA.
authors.forename: Brian C
authors.initials: BC
authors.lastname: Lobo
authors.affiliation: Section of Rhinology and Skull Base Surgery, Department of Otolaryngology, University Hospitals-Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH 44106, USA.
authors.forename: Brian
authors.initials: B
authors.lastname: D'Anza
authors.affiliation: Section of Rhinology and Skull Base Surgery, Minimally Invasive Cranial Base & Pituitary Surgery Program, Head and Neck Institute, Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic Foundation, 9500 Euclid Avenue #A-71, Cleveland, OH 44195, USA.
authors.forename: Troy D
authors.initials: TD
authors.lastname: Woodard
authors.affiliation: Section of Rhinology and Skull Base Surgery, Minimally Invasive Cranial Base & Pituitary Surgery Program, Head and Neck Institute, Burkhardt Brain Tumor and Neuro-Oncology Center, Cleveland Clinic Foundation, 9500 Euclid Avenue #A-71, Cleveland, OH 44195, USA. Electronic address: sindwar@ccf.org.
authors.forename: Raj
authors.initials: R
authors.lastname: Sindwani
mesh_terms: D003646:Debridement / Q000295:instrumentation*; D004724:Endoscopy; D004867:Equipment Design; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D009298:Nasal Polyps / Q000601:surgery*; D059747:Nasal Surgical Procedures / Q000295:instrumentation*; D019291:Skull Base / Q000601:surgery*; D025321:Surgery, Computer-Assisted
keywords: Drill; Endoscopic; Microdebrider; Polyps; Powered instrumentation; Sinus surgery; Skull base surgery