Microdebriders used in functional endoscopic sinus surgery

Secondary analysis and validation of a new tissue model

Sandeep P. Dave, Marek Polak, Roy R Casiano

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Objectives/Hypothesis: To validate a previously reported in vitro tissue model for microdebrider comparison and determine which microdebrider, tissue type, blade type, and suction strength is most efficient. Specifically, the goal of the secondary analysis is to expand on the results of the preliminary analysis by increasing the sample size, and introduce an aspiration efficiency score (AES) to facilitate microdebrider comparison. Study Design: Prospective randomized comparison. Methods: A prospective randomized comparison of the Diego Powered Dissector and XPS 3000 Powered ENT System was conducted using a soft tissue and a firm tissue model. In addition to evaluating tissue aspiration with straight and angled blades, clogging rates and clearance times were measured. Both standard wall suction and liposuction were used. Basic statistical analysis, a one-way analysis of variance, and a post hoc Student's t test were performed to compare outcomes. Results: With standard wall suction, the microdebriders were equivalent for the overall microdebrider comparison. For the "head to head" comparison with standard wall suction, the devices were also equivalent when using the straight blades, but the XPS 3000 aspirated more tissue when using the angled blades. With liposuction, the XPS 3000 and liposuction independently aspirated more tissue but clogged more often compared with the Diego PD and regular suction. The aspiration efficiency of soft tissue (oysters) and straight blades was superior compared with firm tissue (scallops) and angled Hades. For the "head to head" comparison with liposuction, the XPS 3000 aspirated more tissue regardless of tissue type, but the Diego PD clogged less with firm tissue (scallops). Overall, the AES favored the XPS 3000, soft tissue (oysters), straight blades, and liposuction. Conclusion: Our tissue model represents a reliable and reproducible means of microdebrider comparison. Statistically significant differences between the Diego PD and XPS 3000, as well as between tissue types, blade types, and suction strengths, are reported. Using these results, microdebrider manufacturers can adopt similar tissue models, expand on the current AES, and include other commercially available microdebrider devices to test and report product performance to the consumer. Perhaps an optimal open to closed ratio or liposuction pressure can be determined that yields the greatest tissue aspiration with the fewest number of clogs.

Original languageEnglish
Pages (from-to)1641-1645
Number of pages5
JournalLaryngoscope
Volume115
Issue number9
DOIs
StatePublished - Sep 1 2005

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Lipectomy
Suction
Pectinidae
Ostreidae
Equipment and Supplies
Sample Size
Analysis of Variance
Prospective Studies
Students
Pressure

Keywords

  • Aspiration efficiency
  • Functional endoscopic sinus surgery
  • Microdebriders
  • Tissue model

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Microdebriders used in functional endoscopic sinus surgery : Secondary analysis and validation of a new tissue model. / Dave, Sandeep P.; Polak, Marek; Casiano, Roy R.

In: Laryngoscope, Vol. 115, No. 9, 01.09.2005, p. 1641-1645.

Research output: Contribution to journalArticle

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