Sinus Surgery and Transnasal Skull Base Surgery
We offer minimally invasive powered and manual ENT instruments for sinus surgery that help preserve mucosa, minimize tissue trauma, and provide maximum access and visualization during sinus surgery and transnasal skull base surgery.
About Sinus Surgery and Transnasal Skull Base Surgery
Medtronic pioneered minimally invasive tools for sinus surgery in 1997, with the industry’s first sinus debrider. Since then, we’ve continued to develop innovative tools that help you perform sinus surgery more easily, precisely, and with better patient outcomes. Key benefits of our adult and pediatric sinus surgery products are that they help:
- Facilitate preservation of the ciliated membrane-covered pathways to assure unobstructed drainage of natural ostia
- Minimize tissue trauma and scar formation
- Enable precise dissection with optimal visualization and access
- Remove bacteria from sinus cavities
Our broad portfolio of sinus surgery products and accessories includes powered and manual instruments, image-guided navigation systems, and dissolvable nasal packing for treating all types of sinus and nasal conditions through the nose, including:
- Chronic sinusitis
- Nasal obstructions
- Obstructive sleep apnea
- Inferior turbinate hypertrophy
- Septoplasty
- Polyps, tumors, and fungus balls
- Anterior skull base lesions
Powered Instruments
Medtronic Powered ENT Instruments provide the innovative tools you need for sinus surgery, transnasal skull base surgery, and other ENT procedures.
Integrated Power Console (IPC System) and Straightshot M4 Microdebrider
Our multispecialty Integrated Power Console and Straightshot® M4 Microdebrider facilitate more precise tissue removal, visibility, and surgical access during sinus surgery. We offer the most comprehensive selection of application-specific blades and burs for your sinus surgery needs, from basic FESS to advanced sinus and skull base surgery.
Endo-Scrub 2 Lens Cleaning Sheaths
Our software-driven Endo-Scrub® 2 Lens Cleaning Sheaths help provide the clearest view possible during sinus surgery and transnasal skull base surgery. The software automatically adjusts forward and reverse flow to clean the lens with a tap of the footswitch, and covers a broad range of endoscopes by multiple manufacturers. Endo-Scrub 2 functionality is fully integrated with and optimized for our Integrated Power Console (IPC® System).
Hydrodebrider Endoscopic Sinus Irrigation System
Research indicates that bacterial infections are intimately associated with chronic rhinosinusitis.1,2 Our innovative Hydrodebrider® System uses pressurized sinus irrigation to help remove bacteria that cause ongoing sinus infections. You can use it in the O.R. during endoscopic sinus surgery or in the office. In vitro research shows that our Hydrodebrider treatment is more effective at disrupting bacteria than saline lavage.3
Inferior Turbinate Blades
Our Inferior Turbinate Blades for the Straightshot M4 Microdebrider feature a patented, elevated, rotating tip that allows you to remove tissue more precisely than traditional sinus surgery tools, for better long-term results.4-7
Fusion ENT Navigation System
Our Fusion™ ENT Navigation System is an electromagnetic image-guided surgery system that offers reliable accuracy, ease of use, and expandability. Image-guided sinus surgery and transnasal skull base surgery with the Fusion system can help you navigate each patient’s unique anatomy for safer, more thorough procedures when operating near crucial structures, such as the brain, orbit, or carotid artery. It's become the standard of care for many sinus surgeries, including revision surgery, polypectomy, frontal sinus surgery, and posterior ethmoid and sphenoid sinus surgery. The Fusion system allows customization for each surgeon, including procedure-specific pathways for FESS and lateral or anterior skull base, as well as surgeon-specific room setup.
Manual Instruments
MicroFrance Instruments
We offer premier MicroFrance® ENT instruments known for exceptional quality, precision, and durability. MicroFrance instruments are designed with world-renowned surgeons to facilitate new techniques and improve patient outcomes. Some of our MicroFrance instruments for sinus surgery include:
Parsons Minimally Invasive Sinus Instrument Set – This set was designed in conjunction with David Parsons, MD, to complement powered sinus surgery instrumentation. The Parsons Minimally Invasive Sinus Set features 11 instruments specially designed for sinus surgery and standard FESS. Learn more.
Wormald Frontal Sinus Surgery Set – Developed in conjunction with Peter J. Wormald, MD, this robust yet malleable set of sinus surgery instruments has been designed to aid in preservation of mucosa within the frontal recess and frontal sinus. The last 4 centimeters of each instrument are malleable for better access across a wide range of anatomies. Learn more.
Levine Orbital Decompression Instrument Set
Thyroid eye disease, or Graves' disease, is the most frequent indication for orbital decompression. This disorder is characterized by exophthalmos that sometimes requires an intranasal endoscopic orbital decompression approach. The Levine Orbital Decompression Instrument Set is ideally suited for intranasal endoscopic orbital decompression. Learn more.
Dissolvable Nasal Packing
To absorb drainage, control minimal bleeding, and prevent the middle turbinate from lateralizing following functional endoscopic sinus surgery (FESS), Medtronic offers innovative dissolvable nasal packing. It eliminates the need for packing removal, which can be extremely painful for your patients. Our dissolvable nasal packing products use hyaluronic acid to help keep the surgical site moist, reduce adhesions, and decrease healing time after sinus surgery.8
Additional Products
For our complete line of sinus surgery products, see our online ENT Product Catalog.
References
- Jervis-Bardy J, Foreman A, Field J, Wormald PJ. Impaired mucosal healing and infection associated with Staphylococcus aureus after endoscopic sinus surgery. Am J Rhinol Allergy 2009; 23(5):549.
- el-Fiky LM, Khamis N, Mostafa Bel D, Adly AM. Staphylococcal infection and toxin production in chronic rhinosinusitis. Am J Rhinol Allergy 2009; 23(3):264-7.
- Desrosiers M, Myntti M, James G. Methods for removing bacterial biofilms: in vitro study using clinical chronic rhinosinusitis specimens. Am J Rhinol 2007; 21(5):527-32.
- Liu C-M, Tan C-D, Lee F-P, Lin K-N, Huang H-M. Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty. Laryngoscope 2009;119:414-8.
- Berger G, Ophir D, Pitaro K, Landsberg R. Histopathological changes after Coblation® inferior turbinate reduction. Arch Otolaryngol Head Neck Surg 2008;134(8):819-823.
- Lee JY, Lee JD. Comparative study on the long-term effectiveness between Coblation- and microdebrider-assisted partial turbinoplasty. Laryngoscope 2006;116:729-34.
- Atef A, Mosleh M, El Bosraty H, El Fatah GA, Fathi A. Bipolar radiofrequency volumetric tissue reduction of inferior turbinate: Does the number of treatment sessions influence the final outcome? Am J Rhinol 2006; 20: 25-31.
- Berlucchi M, Castelnuovo P, Vincenzi A, Morra B, Pasquini E. Endoscopic outcomes of resorbable nasal packing after functional endoscopic sinus surgery: a multicenter prospective randomized controlled study. Eur Arch Otorhinolaryngol 2009; 266(6): 839-45.
Transnasal Skull Base Surgery
A Complete Solution
Transnasal endoscopic approaches into the anterior skull base challenge even the most experienced rhinologist. In this difficult and highly vascular anatomic space, maximum visualization and access are key. Medtronic offers these innovative products to help you address the unique challenges of complex transnasal skull base surgery:
Fusion ENT Navigation System and Instruments
Image-guided surgery with the Fusion System provides valuable information during complex and delicate anterior skull base procedures to help you operate with greater precision. Plus our new Supplemental Instrument Set includes innovative frontal suctions with unique design features that aid in navigation and dissection. See Fusion ENT Navigation System.
Straightshot Blades with Automated EM Tracking
These microdebrider blades are factory-calibrated for EM navigation with the Fusion System, offering true convenience. See Automated EM Tracking Blades.
Anterior Skull Base Burs
With a unique design, these burs help maximize visibility and facilitate rapid bone and tumor removal. We offer the most comprehensive bur selection for transnasal endoscopic surgery. See Anterior Skull Base Burs.
MicroFrance Wormald Anterior Skull Base and Pituitary Instruments
Designed with PJ Wormald, MD, these premier MicroFrance® instruments are made for both otolaryngologists and neurosurgeons in the combined approach to endoscopic anterior skull base and pituitary procedures. The set includes elongated malleable instrumentation with suction for tissue elevation and tumor removal, various low-profile scissors for soft tissue and thin bone resection, as well as additional instruments. View details.
MicroFrance Wormald Hemorrhage Control Set
Large vessel hemorrhages can severely inhibit visibility during endoscopic sinus surgery and anterior skull base surgery. The Wormald Hemorrhage Control Set addresses this challenge and offers remarkable visibility, access, and control. Instruments in this anterior skull base surgery set include a variety of clamps, clip-applying forceps, a rotatable needle holder, and an instrument tray. View details.
MicroFrance Wormald Bipolar Forceps with Suction
These forceps help achieve hemostasis during endoscopic sinus surgery and anterior skull base procedures. With a slim profile, fine tips, and integrated suction, the forceps’ unique design facilitates optimum visualization and access to the pituitary. View details.
Endo-Scrub 2 Lens Cleaning Sheaths
For maximum visualization at the surgical site, the Endo-Scrub® 2 delivers a high-powered burst of irrigation to flush out debris from the endoscope tip. Endo-Scrub 2 Lens Cleaning Sheaths significantly improve the ability to operate in the presence of bleeding.1-6
References
- Haruna S, Otori N, Moriyama H, Kamio M. Endoscopic transnasal transethmosphenoidal approach for pituitary tumors: assessment of technique and postoperative findings of nasal and paranasal cavities. Auris Nasus Larynx 2007; 34:57-63.
- Jho H-D. Endoscopic pituitary surgery. Pituitary 1999; 2:139-154.
- Gross CW, Becker DG. Power instrumentation in endoscopic sinus surgery. Oper Tech Otolaryngol Head Neck Surg 1996; 7(3):236-241.
- Lui WM, Leung GKK, Hui Y, Lee KK, Fan YW. Endonasal endoscopic removal of growth hormone-secreting pituitary adenomas. HKMJ 2001; 7(2):189-192.
- Kennedy DW. Functional endoscopic sinus surgery: concepts, surgical indications, and instrumentation. In: Kennedy DW, Bolger WE, Zinreich SJ, eds. Diseases of the Sinuses: Diagnosis and Management. 1st ed. Philadelphia, PA: PMPH USA; 2001:197-210.
- Bolger WE, Kennedy DW. Surgical complications and postoperative care. In: Kennedy DW, Bolger WE, Zinreich SJ, eds. Diseases of the Sinuses: Diagnosis and Management. 1st ed. Philadelphia, PA: PMPH USA; 2001:303-316.
ENT Product Catalog
Medtronic offers more than 5000 products and instruments for ENT specialists.
