The usability of large handpiece of SE 5 and pace setter for ESS

Abstract

Previously, we were using powered instrument in endoscopic sinus surgery (ESS). Representative name of the powered instrument is Hummer system as you know. However, aspiration by the Hummer system sometimes gets clogged. The Hummer system also has a problem in resecting hard bones, which is time-consuming. To solve these problems, we used the large handpiece of SE 5 and Pace Setter that is usually used in plastic surgery. As a result, there was no plugging of aspiration during operation. This devise can dissect and aspirate the hard bones of ethmoidal cells and also can dissect the frontal recess by using the 15 degree angle cutters. These angle cutters can also open the fontanelle and dissect polypoid lesions in the maxillary sinus. By using this technique, we can approach all sinuses easier, and it was especially useful in reoperation cases. From June 1996 to January 1997, we treated 56 patients (99 nasal sides) with SE 5 (or Pace Setter). We compared SE 5 (or Pace Setter), Hummer and the standerd technique for their usability. SE 5 has many merits: less bleeding and time in surgery, faster healing and smaller incidence of complications. SE 5 and Pace Setter can overcome the Hummer's weakness while retaining safety and usability of the shaver. The large handpiece is heavy in weight, but has many merits in ESS. © 1997, Society of Oto-rhino-laryngology Tokyo. All rights reserved.