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Sinus Surgery and Transnasal Skull Base Surgery

Sinus Surgery and Transnasal Skull Base Surgery

Our enabling technologies help you perform sinus and skull base surgery using powered ENT instruments, surgical navigation systems, and balloon sinus surgery tools. Through innovative technology integration, we bring Surgical Synergy™ to your OR-- facilitating operative efficiency, value, and outcomes.

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Sinus Surgery

Sinus Surgery

NuVent: Balloon Sinus Surgery

VIDEO: Balloon sinus surgery with NuVent EM Balloon Sinus Dilation

Chronic Rhinosinusitis: Incidence and Impact

Nearly 29 million Americans suffer from chronic rhinosinusitis,1 with more than 500,000 sinus surgeries performed annually.2

Chronic rhinosinusitis can have significant effects on health and quality of life -- more disabling than angina, congestive heart failure, and back pain.3

Annual direct costs to society are $4.3 billion,4 and when medical therapy fails, endoscopic sinus surgery is the treatment of choice.3

Clinical Evidence for Using Powered Instruments

The goal of sinus surgery is to restore ventilation and drainage while preserving mucosa. Powered sinus surgery with a microdebrider has several benefits compared to surgery with manual instruments alone:

  • Minimized mucosal damage5-8
  • Shorter operative times6,7
  • Reduced surgical bleeding5,8 and improved visibility5,6
  • Faster healing with less scarring7,8
ENT Surgeon Education and Training at Medtronic

Hands-on training at the Dr. Glen Nelson Education and Training Center

Advanced Education and Training

Medtronic offers hands-on training with powered ENT instrumentssurgical navigationnerve monitors, and more. Register for courses.

Powered Sinus Surgery

Before Using Endo-Scrub 2 Endoscope Lens Cleaning Sheath

Endo-Scrub 2 Lens Cleaning Sheaths significantly improve the ability to operate in the presence of bleeding

Image-Guided Sinus Surgery

After Using Endo-Scrub 2 Endoscope Lens Cleaning Sheath

Balloon Sinus Surgery

Bioresorbable Nasal Packing

  • MeroGel® nasal packing: eliminate the need for painful packing removal, absorb drainage, control minimal bleeding, prevent adhesions, and aid healing.22,23

 

Additional Products for Sinus Surgery

View the ENT Product Catalog for all sinus surgery products.

 

 


References

1

Blackwell DL, Lucas JW, Clarke TC. Summary health statistics for US adults: National Health Interview Survey, 2012. National Center for Health Statistics.Vital Health Stat. 2014; 10(260).

2

Smith TL, Litvack JR, Hwang PH, et al. Determinants of outcomes of sinus surgery: A multi-institutional prospective cohort study. Otolaryngology–HNS. 2010; 142:55-63.

3

Khalid AN, Quraishi SA, Kenney DW. Long-term quality of life measures after functional endoscopic sinus surgery. Am J Rhin. 2004; 18:131–136.

4

Anand VK. Epidemiology and economic impact of rhinosinusitis. Ann Otol Rhinol Laryngol Suppl. May 2004; 113(5):3-5.

5

Bhattacharyya N. Progress in surgical management of chronic rhinosinusitis and nasal polyposis. Allergy Asthma Rep. 2007; 7(3):216-220.

6

Cornet ME, Reinartz SM, Georgalas C, et al. The microdebrider, a step forward or an expensive gadget? Rhinology. 2012; 50:191-198.

7

Saafan ME, Rageb SM, Albirmawy OA, et al. Powered versus conventional endoscopic sinus surgery instruments in management of sinonasal polyposis. Eur Arch Otorhinolaryngol. 2013; 270(1):149-155. DOI: 10.1007/s00405-012-1969-8. E-pub April 10, 2012.

8

Krouse JH and Christmas DA. Powered instrumentation in functional endoscopic sinus surgery II: a comparative study. ENT Journal. 1996; 75(1): 42-45.

9

Liu C-M, Tan C-D, Lee F-P, Lin K-N, Huang H-M. Microdebrider-assisted versus radiofrequency-assisted inferior turbinoplasty. Laryngoscope. 2009;119:414-418.

10

Chen Y-L, Liu C-M, Huang H-M. Comparison of microdebrider-assisted inferior turbinoplasty and submucosal resection for children with hypertrophic inferior turbinates. Intl J Ped Otorhinolaryn. 2007; 71: 921-927.

11

Chen Y-L, Tan C-T, Huang H-M. Long-term efficacy of microdebrider-assisted inferior turbinoplasty with lateralization for hypertrophic inferior turbinates in patients with perennial allergic rhinitis. Laryngoscope. 2008; 118: 1270-1274.

12

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.

13

Jho H-D. Endoscopic transsphenoidal tumor surgery.  Oper Tech Neurosurg. 2002; 5(4):218-225.

14

Setty P, Volkov AA, D'Andrea KP, Pieper DR. Endoscopic vascular decompression for the treatment of trigeminal neuralgia: clinical outcomes and technical note. World Neurosurg. 2014; 81(3-4):603-608. doi.org/10.1016/j.wneu.2013.10.036

15

Ku PK-M, Pak MW, van Hasselt CA. Ann Coll Surg HK. 2002; 6:83-86.

16

Gross CW, Becker DG. Instrumentation in endoscopic sinus surgery. Oper Tech Otolaryngol Head Neck Surg. 1996; 7(3):236-241.


17

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.

18

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.

19

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.

20

Wolcott RD, Rumbaugh KP, James G, et al. Biofilm maturity studies indicate sharp debridement opens a time-dependent therapeutic window. J Wound Care. 2010; 19(8):320-328.

21

Lo W-C, Liao L-J, Wang C-T, Cheng P-W. Powered saline irrigation is useful for endoscopic removal of fungus balls in maxillary sinuses: Our experience in fifty patients. Clin Otolaryngol. 2013; 38:157-165.

22

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.

23

Franklin JH and Wright ED. Randomized, controlled, study of absorbable nasal packing on outcomes of surgical treatment of rhinosinusitis with polyposis. Am J Rhinol. 2007; 21:214-217. doi: 10.2500/ajr.2007.21.3011.

Transnasal Skull Base Surgery