[Microdebrider in nose-throat surgeries]
Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Lopez A, Rey-Ares L, Bardach A, Regueiro A, Alcaraz A, Valanzasca P, Elorriaga N, Romano M, Rojas J, Beratarrechea A
Record ID 32011000978
Spanish
Authors' objectives:
This document assesses the use of microdebridement, which allows to perform partial intracapsular tonsillectomy more accurately than with other generally used technologies and whose advantage over the conventional procedure is that a tonsil tissue coating and the tonsil capsule is left thus protecting the underlying muscles which might improve post-operative symptoms. Also, this document assesses the microdebrider within the setting of other nose-throat surgeries such as turbinectomy and nasal polypectomy.
Authors' recommendations:
The microdebrider has been evaluated in different nose and throat practices and the available evidence differs. There is good quality evidence that shows the benefits in terms of post-operative pain and return to a regular diet in amygdalectomies and tonsillectomies averaging 1-2 days earlier than in the other therapeutic alternatives. In addition, there is more bleeding but it is not clinically relevant. The frequency of relapses should be further evaluated since this hypothetical risk is taken into account in partial surgeries. The available evidence in inferior turbinectomies is controversial. Finally, as regards nasal polyposis, the only RCT found did not show significant differences between the use of the microdebrider and conventional techniques.This technology should be assessed based on its cost-effectiveness to be able to conclude if its use is beneficial in a certain specific setting, mainly in amygdalectomies and tonsillectomies. For the rest of the surgeries, no significant benefits have been observed.
Details
Project Status:
Completed
URL for project:
http://www.iecs.org.ar/iecs-visor-publicacion.php?cod_publicacion=1221&origen_publicacion=publicaciones
Year Published:
2011
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Otorhinolaryngologic Surgical Procedures
- Surgical Equipment
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.