Microdebrider Complications in Laryngologic and Tracheal Surgery

Abstract

Objectives:

There is no formal body of literature focusing on complications in laryngologic and airway surgery performed with microdebriders. Attendees can expect to: 1) Describe potential complications that may occur with microdebrider use during laryngologic and airway surgery. 2) Recognize which clinical situations are better suited to the use of the microdebrider. 3) Implement changes in clinical practice to improve operative safety when using the microdebrider in laryngologic and airway surgery.

Methods:

A literature review of microdebrider complications in otolaryngologic surgery was performed. A series of exemplary and illustrative cases seen by various surgeons in selected high volume laryngologic centers was confidentially solicited and is described.

Results:

Significant microdebrider complications are described, including severe hemorrhage, extensive tissue loss, and airway perforation, as well as ways to prevent and treat these complications.

Conclusions:

A thorough understanding of the microdebrider and its potential complications will improve surgical outcomes. Implications for Practice: Awareness of the risks and knowing when to use the microdebrider will allow the surgeon to successfully use this device in a safe and efficient manner.