An apparatus for addressing tissue and bone in a nasal cavity includes a rotary or oscillatory cutting member disposed in the lumen of a shaft. The shaft may have a first window region oriented in first direction and a second window region oriented in a second direction. The cutting member may have a first cutting edge configured to be cyclically moved across at least a portion of the first window region and a second cutting edge configured to be cyclically moved across at least a portion of the second window region. A shield is selectively positionable to occlude the first and to occlude the second window region.