reduce the risk of
complications to sur-
rounding structures
such as the orbit or
the brain."
2
Improved
instruments
New instruments for
functional endoscopic
sinus surgery (FESS)
are smaller and more
maneuverable, making
the process more min-
imally invasive and easier for surgeons, says Peter Svider, MD, a fel-
low in rhinology and endoscopic skull base surgery at Rutgers New
Jersey Medical School.
Endoscopes continue to improve, with some smaller than 3mm
while providing high-definition images. Dr. Zadeh notes that the video
towers have also improved, and are now providing higher definition
video with higher clarity.
"Every year it seems, there are new endoscopes that let us see what
we're doing a whole lot better," adds Dr. Svider. "Improved visualiza-
tion can help surgeons minimize any trauma to structures and mini-
mize blood loss."
Additionally, Dr. Svider notes that instruments such as small
microdebriders — traditionally used in orthopedic cases — cut tissue
while providing suction to remove tissue and polyps. Though original
designs were cumbersome, Dr. Svider notes that the ergonomics of
these devices makes them easier to use. "The latest models feature
J A N U A R Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 7 1
• UP, UP AND AWAY Balloon sinuplasty is one of the largest growing treatments
for sinusitis. More and more physicians are performing the minimally invasive proce-
dure in office-based settings.
