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Endonasal nasal and sinus surgery using an endoscope for visual control has minimized the risks of surgery. A new technique is presented in which a suction-irrigation endoscope is used for visual control during surgery. The instrument is combined with a suction-rotation microdebrider with different tips and a power generator. The handling of this instrument is easy and atraumatic and it achieves a relatively bloodless field to reduce further the risk of inadvertent penetration of the skull base and lamina papyracea during endoscopic surgery.