Endoscopic paranasal sinus surgery: Indications and considerations
Open Access
- 4 January 1989
- journal article
- Published by Wiley in The Laryngoscope
- Vol. 99 (1), 1-5
- https://doi.org/10.1288/00005537-198901000-00001
Abstract
Recently, American otolaryngologists have become increasingly interested in endoscopic paranasal sinus surgery. This trend has been beneficial, because it has enhanced the understanding of the anatomy and pathophysiology of the sinuses. However, as with the introduction of any new surgical technique, it takes both time and experience to acquire the skills necessary to perform this procedure. To evaluate the state of endoscopic sinus surgery, we analyzed the experience of one of the authors with 100 consecutive patients undergoing therapeutic endoscopic sinus surgery over 23 months. With an average follow-up of 5 months (range: less than 1 month to 20 months), 14 patients had minor complications. The most common complication was synechia between the middle turbinate and the lateral nasal wall (six patients), resulting in revision surgery in four patients. Eighty-three patients were judged as having significantly improved after surgery, while ten were improved but had one episode of sinusitis postoperatively. The results of this series suggest that endoscopic paranasal sinus surgery is an efficacious advance in the treatment of sinusitis, given the limitations discussed in this report.Keywords
This publication has 11 references indexed in Scilit:
- Complications of endoscopic intranasal ethmoidectomyThe Laryngoscope, 1987
- Sphenoethmoidectomy: the case for ethmoid marsupializationThe Laryngoscope, 1986
- Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part II. Surgical TechniqueOtolaryngology -- Head and Neck Surgery, 1986
- Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Pathophysiologic ConsiderationsOtolaryngology -- Head and Neck Surgery, 1986
- Functional Endoscopic Sinus Surgery: TechniqueJAMA Otolaryngology–Head & Neck Surgery, 1985
- Functional Endoscopic Sinus Surgery: Theory and Diagnostic EvaluationJAMA Otolaryngology–Head & Neck Surgery, 1985
- Complications of intranasal ethmoidectomy: A review of 1,000 consecutive operationsThe Laryngoscope, 1979
- Endonasal Sinus Surgery with Endoscopical Control: From Radical Operation to Rehabilitation of the MucosaEndoscopy, 1978
- Experiences with the Osteoplastic Anterior Wall Approach to the Frontal Sinus: Case Histories and RecommendationsJAMA Otolaryngology–Head & Neck Surgery, 1958
- EXTERNAL OPERATION ON THE ETHMOSPHENOIDFRONTAL GROUP OF SINUSES UNDER LOCAL ANESTHESIA: TECHNIC FOR REMOVAL OF PART OF OPTIC FORAMEN WALL FOR RELIEF OF PRESSURE ON OPTIC NERVEJAMA Otolaryngology–Head & Neck Surgery, 1926