{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T15:21:15Z","timestamp":1780586475302,"version":"3.54.1"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,7,18]],"date-time":"2013-07-18T00:00:00Z","timestamp":1374105600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The waiting time for functional endoscopic sinus surgery (FESS) in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP) in the Canadian public healthcare system can be lengthy. Many such patients have significant nasal obstruction resulting in a poor quality of life. A simple and safe office\u2010based polypectomy device to debulk nasal polyps allows immediate alleviation of nasal obstruction and better access for topical medications. The aim of this study is to assess the efficacy, safety, and patient tolerability of a vacuum\u2010powered microdebrider in the outpatient clinic setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical charts of patients with CRSwNP who underwent office polypectomy with a vacuum\u2010powered microdebrider between May 2012 and February 2013 were retrospectively reviewed. These patients were either awaiting surgery or had recurrent polyposis postsurgery that was amenable to office polypectomy. Previously completed procedural and clinical outcomes questionnaires by the patients and surgeon were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Sixty\u2010eight patients underwent office polypectomy in this case series. Fifty\u2010nine procedures (87%) were successfully completed. Failed complete polyp resections were due to fibrous polyps (n = 7; 10%), device failure (n = 1; 1.5%), and obstruction from a deviated nasal septum (n = 1; 1.5%). There was a 43% improvement in nasal obstruction score and significant reduction in polyp grade postpolypectomy. Majority of patients (n = 66; 97%) reported a comfort level of \u201cfair\u201d to \u201cexcellent.\u201d Bleeding was \u201clight\u201d in 61 cases (90%). There were no complications encountered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The vacuum\u2010powered microdebrider is a safe, effective, and well\u2010tolerated instrument to resect nonfibrous nasal polyps in the outpatient setting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21198","type":"journal-article","created":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T09:02:56Z","timestamp":1374224576000},"page":"890-895","source":"Crossref","is-referenced-by-count":33,"title":["The efficacy and safety of an office\u2010based polypectomy with a vacuum\u2010powered microdebrider"],"prefix":"10.1002","volume":"3","author":[{"given":"Eng Cern","family":"Gan","sequence":"first","affiliation":[{"name":"Division of Otolaryngology University of British Columbia, St. Paul's Sinus Centre  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Al\u2010Rahim R.","family":"Habib","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology University of British Columbia, St. Paul's Sinus Centre  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain","family":"Hathorn","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology University of British Columbia, St. Paul's Sinus Centre  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amin R.","family":"Javer","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology University of British Columbia, St. Paul's Sinus Centre  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,7,18]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"S99","article-title":"Canadian clinical practice guidelines for acute and chronic rhinosinusitis","volume":"40","author":"Desrosiers M","year":"2011","journal-title":"J Otolaryngol Head Neck Surg"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200307000-00016"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2009.12.989"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000147922.12228.1f"},{"key":"e_1_2_7_6_1","first-page":"202","article-title":"Medical treatment of naso\u2010sinus polyposis: a prospective study of 181 patients","volume":"115","author":"Bonfils P","year":"1998","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2009.01.002"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200502000-00007"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200002000-00005"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30418-7"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1615\/JLongTermEffMedImplants.v13.i3.50"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60239-6"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(98)80017-1"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199911000-00021"},{"key":"e_1_2_7_15_1","first-page":"31","article-title":"Transnasal repair of unilateral choanal atresia","volume":"41","author":"Rombaux P","year":"2003","journal-title":"Rhinology"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200305000-00018"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199409000-00006"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(03)00521-7"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.119514"}],"container-title":["International Forum of Allergy &amp; 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