Powered instrumentation represents the newest advance in endoscopic si
nus surgery. These instruments can be used in a variety of areas of th
e nose and paranasal sinuses. They can be particularly helpful for sin
us surgery in children, who have smaller anatomic spaces and closer pr
oximity of vital structures. The shaving action combined with continuo
us real-time suction of the soft-tissue shavers can provide the techni
cal advantage to allow greater precision and ease in performing pediat
ric endoscopic sinus surgery.