Abstract: A system and method for performing skull based nasal, sinus and/or throat surgery. In the system and method of this invention a cutting accessory is applied to the tissue on which a procedure is to be performed. Simultaneously with the performance of the procedure by the cutting accessory, irrigating solution is discharged from the cutting accessory onto the tissue. The cutting accessory also has a conduit through which the discharged irrigating solution is drawn away from the surgical site. The irrigating solution discharged onto the surgical site facilitates the performance of the surgical procedure. This solution can also be used to remove debris from the distal end of an endoscope employed to view the procedure and/or as a transport media for topically applying medicine to the surgical site.