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EpiFilm™
Standard tympanoplasty techniques have been used for decades. It is hoped that an otologic lamina biomaterial made from hyaluronic acid will circumvent many of the problems encountered by the otologic surgeon. Such pitfalls include middle ear adhesions/fibrosis, dense fibrous capsule formation in response to a silastic disc in the middle ear, and chronic granular inflammation of the tympanic membrane graft.
http://www.xomed.com/surgicaltechniques/surgtech_epiFilm.htm
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How To Use The Minimally-Invasive Sinus Set
Developed to complement powered sinus surgery instrumentation, the Minimally-Invasive Sinus Set features ten instruments designed especially for sinus surgery. In addition, Xomed offers the Tobey Microbackbiter, used on the uncinate process to create an edge for the Microresector.
http://www.xomed.com/surgicaltechniques/surgtech_endo5.htm
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Medtronic Xomed Surgical Products
Medtronic Xomed is a leading developer, manufacturer and distributer of surgical products for use by Ear, Nose and Throat (ENT) specialists. As the driving force in Least Invasive Functional Endoscopic Sinus Surgery (FESS) procedures, Medtronic Xomed markets over 4,000 microsurgical products worldwide, addressing surgical procedures in the three major ENT subspecialties of Sinus and Rhinology, Head and Neck, and Otology. Medtronic Xomed's core ENT products include powered tissue-removal systems and other microendoscopy instruments, implantable devices, nerve monitoring systems, and disposable fluid-control products.
http://www.xomed.com
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Micro-Direct Laryngoscopy:
Modern laryngeal microsurgery developed rapidly in the 1980's in conjunction with a better understanding of vocal fold anatomy. It is based on the premise that surgery should be designed to remove pathology without provoking scar formation, or in other words, without stimulating fibroblasts in the intermediate layer of the lamina propria or deeper. While endoscopic microsurgery seems intuitively more "conservative" than an external approach, this supposition holds true only when the equipment provides good exposure of the surgical site and the abnormality can be treated meticulously and thoroughly with endoscopic instruments. Delicate microsurgery requires sharp, precise, small instruments, and the few heavy cupped forceps and scissors that constituted a laryngoscopy tray through the early 1980's are no longer sufficient to perform voice surgery.
http://www.xomed.com/surgicaltechniques/surgtech_sataloff.htm
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Modified Transnasal Endoscopic Lothrop
The Lothrop procedure resects the medial frontal sinus floor, superior nasal septum, and intersinus septum, creating a large frontonasal communication which is completely supported by bone. However, the external approach, which is not surrounded by bone, often allows medial collapse of soft tissue and stenosis of the frontonasal communication. We describe a modified transnasal endoscopic Lothrop procedure, using powered instrumentation for cases in which frontal recess exploration has failed to relieve obstruction of the frontal sinus.
http://www.xomed.com/surgicaltechniques/surgtech_endo4.htm
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Powered Laryngeal Surgery Using the Angl-Tip RAD Airway Blade
Treatment for the removal of laryngeal lesions has progressed from cold steel techniques to the use of the CO2 laser and KTP fiber directed laser. While the laser is the standard treatment, a new development, the powered laryngeal shaver, provides an alternative that...
http://www.xomed.com/surgicaltechniques/surgtech_laryngeal.htm
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Powered Partial Adenoidectomy
The powered microdebrider has become widely utilized in the practice of otolaryngology due to its efficiency and safety in functional endoscopic sinus surgery. Historically, the tool has undergone an evolution from its original inception by Jack Urban as a rotating dissector for acoustic neuroma removal, to a small joint arthroplasty tool common in orthopedic surgery, to its current position in endonasal surgery
http://www.xomed.com/surgicaltechniques/surgtech_endo2.htm
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Resection of the Anterior Ethmoid Bulla
The "grasp and tear" surgical techniques used in the past to resect the anterior and medial wall of the ethmoid bulla are often responsible for the inadvertent stripping of in-tact mucosa from the lamina papyracea. The resulting exposed bone often forms granulation tissue and adhesions, which complicates the healing process. Scarring in the middle meatus and anterior ethmoid cavity attributes to surgical failure.
http://www.xomed.com/surgicaltechniques/surgtech_lusk.htm
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