RESUMO
To compare the use of microdebrider in nasal polypectomy with the endoscopic removal of the nasal polyps using the forceps. A comparative descriptive study. The Department of ENT and Head and Neck Surgery, Sir Ganga Ram Hospital, Lahore from 10-10-1999 to 10-05-2001. All the diagnosed coses of sinunasal polyposis who required surgical intervention from both the gender and age group more than 13 years. A Performa including all details of pre-operative endoscopic assessment, operative details and post-operative follow-up findings was designed. All patients had bilateral Nasal Polyps and underwent bilateral Intranasal Polypectomy using microdebrider on Right side and forceps on Left side. All these procedures were performed endoscopically using camera and monitor display. The microdebrider allows timely and "on-line" removal of blood and tissue, keeping the operation site clean so that the surgery can proceed safely and smoothly under conditions of good visibility. In the post-operative follow-up period the complications like crusting, discharge, adhesions, reoccurrence of disease and stenosis of maxillary sinus ostium were found to be much less frequently or not at all by using the microdebrider in comparison with endoscopic nasal polypectomy with forceps. The use of microdebrider in nasal polypectomy has the advantage of complete clearance of disease and less per-operative as well as post-operative complications in comparison with nasal polypectomy using forceps under endoscopic guidance