Chronic sinusitis is one of the more common chronic diseases in the United States. Over the past decade endoscopic sinus surgery (ESS) has become more common than ethmoidectomy and inferior meatal nasoantral windows. A review of the recent ESS literature, including 10 large series with a total of 1,713 patients, shows a 91% improvement rate. Subjectively, 63% of patients reported a very good result, 28% a good result, and 9% an unsatisfactory result. Twelve percent of patients required revision surgery. Major complications occurred in 1.6% of patients. Objective evaluation of the effectiveness of ESS, through the use of sinus CT, endoscopy, rhinometry, and olfactory testing, has shown mixed results.
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References
1.
National Center for Health Bulletin 1990 as cited in Biedlingmaier.8.
2.
SchaitkinB., MayM., ShapiroA.Endoscopic Sinus Surgery: 4-year Follow-upon the First 100 Patients. Laryngoscope1993; 103: 117–1120.
3.
HoffmanD.F., MayM., MesterS.J.Functional Endoscopic Sinus Surgery-Experience with the Initial 100 Patients. Am J Rhinol1990; 4: 129–132.
4.
LevineH.L.Functional Endoscopic Sinus Surgery: Evaluation, Surgery, and Follow-up of 250 Patients. Laryngoscope1990; 100: 79–84.
5.
VlemingM., de VriesN.Endoscopic Paranasal Sinus Surgery: Results. Am J Rhinology1990; 4: 13–17.
6.
LundV.J., HolmstromM., ScaddingG.K.Functional endoscopic sinus surgery in the management of chronic rhinosinusitis. An objective assessment. J Laryngol Otolog1991; 105: 832–835.
7.
HosemannW., GoertzenW., WohllebenR.Olfaction After Endoscopic Endonasal Ethmoidectomy. Am J Rhinology1993; 7: 11–15.
8.
BiedlingmaierJ.F.Endoscopic Sinus Surgery with Middle Turbinate Resection: Results and Complication. ENT Journal1993; 72: 351–355.
9.
GrossC.W., GurucharriM.J.Functional Endonasal Sinus Surgery (FESS) in the Pediatric Age Group. Laryngoscope1989; 99: 272–275.
10.
ColclasureJ.B., BarberJ.L., MorrisB.K.Endoscopic Sinus Surgery: a 300 Case Review. J Arkansas Med Soc1993; 90: 106–109.
11.
ManigliaA.Fatal and Major Complication Secondary to Nasal and Sinus Surgery. Laryngoscope1989; 99: 276–283.
12.
VlemingM., MiddleweerdR.J., de VriesN.Complications of Endoscopic Sinus Surgery. Arch Otolaryngol Head Neck Surg1992; 118: 617–623.
13.
BuusD.R., TseD.T., FarrisB.K.Ophthalmic Complications of Sinus Surgery. Ophthalmology1990; 97: 612–619.
14.
StankiewiczJ.A.Complications in Endoscopic Intranasal Ethmoidectomy: An Update. Laryngoscope1989; 99: 686–690.
15.
LawsonW.The Intranasal Ethmoidectomy: An Experience with 1,077 Procedures. Laryngoscope1991; 101: 367–371.
16.
RiceD.H.Endoscopic Sinus Surgery: Results at 2-year follow-up. Otolaryngol Head Neck Surg1989; 101: 467–479.
17.
MatthewsB.L., SmithL.E., JonesR., MillerC.Endoscopic sinus surgery: Outcome in 155 cases. Otolaryngol Head Neck Surg1991; 104: 244–246.
18.
LazarR.H., YounisR.T., LongT.E.Functional Endonasal Sinus Surgery in Adults and Children. Laryngoscope1993; 103: 1–5.
19.
HaightJ.S.J., ColeP.The site and Function of the Nasal Valve. Laryngoscope1983; 93: 49–55.
20.
JonesA.S., WillatD.J., DurhamL.M.Nasal Airflow: Resistance and sensation. J of Laryngol and Otol1989; 103: 909–911.
21.
PenttilaM.A., RautiainenM.E.P., LaranneJ.E., PukanderJ.S.Endoscopic and Caldwell-Luc Approach in Chronic Maxillary Sinusitis: Intraoperative and Early Postoperative Results. Am J Rhinology1993; 7: 5–9.
22.
KennedyD.W.Prognostic Factors, Outcomes and Staging in Ethmoid Sinus Surgery. Laryngoscope1992: 102 Suppl 57: 1–18.
23.
DavisW.E., TemplerJ.W., LamearW.R., DavisWEJr.Middle Meatus Antrostomy: Patency rates and risk factors. Otolaryngol Head Neck Head1991; 117: 422–426.
24.
StammbergerH.Functional Endoscopic Sinus Surgery: The Messerklinger Technique.Mosby-Year Book1991: 459–477.
25.
StammbergerH., PosawetzW.Functional endoscopic sinus surgery: Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol1990; 247: 63–76.
