Abstract
Objective: To modify the endoscopic frontal sinus surgery and improve the therapeutic effect of recurrent chronic frontal sinusitis.
Method: Endoscopic frontal sinus surgery through an approach of frontomaxillary process-agger nasi (FPA) was carried out in 51 patients with recurrent frontal sinusitis.The therapeutic effect was prospectively evaluated with statistically validated measures of sinusitis-specific quality of life (SNOT20).
Results: Both 6 and 12 months after surgery significant improvements were found in sinus specific health status, including a reduction of total score of SNOT20 and mean score of identified 5 important symptoms (P < .05). The globe evaluation showed “Much improved” in 35 patients (68.6%), “Improved” in 9 patients (17.6%), and “Not improved” in 7 patients (13.7%). An overall frontal sinus patency rate was achieved in 85% patients.
Conclusion: Endoscopic frontal sinus surgery through an approach of FPA is a brief, less invasive endoscopic procedure to treat the recurrent chronic frontal sinusitis.
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