Revision Functional Endoscopic Sinus Surgery

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Refractory chronic rhinosinusitis can be challenging to treat. Initial treatment focuses on medical and nonsurgical treatments. If these treatments fail, revision endoscopic sinus surgery is an option. A plan for revision surgery must address anatomic factors contributing to recurrence. Preoperative imaging and sinonasal endoscopy are systematically reviewed; areas of disease and “danger” zones are identified. Traditional anatomic landmarks are often obscured or absent; thus, a set of consistent landmarks (unchanged despite prior surgery) are used to navigate the revision endoscopic sinus surgery. Wide sinusotomies permit visualization and access to disease intraoperatively. Large sinus openings also facilitate post-operative debridements in clinic, endoscopic disease monitoring, and topical sinus therapy.

Original languageEnglish (US)
Pages (from-to)143-164
Number of pages22
JournalOtolaryngologic Clinics of North America
Volume50
Issue number1
DOIs
StatePublished - Feb 1 2017

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Keywords

  • Chronic rhinosinusitis
  • Neo-osteogenesis
  • Polyps
  • Refractory rhinosinusitis
  • Revision FESS
  • Scarring
  • Stenosis

ASJC Scopus subject areas

  • Otorhinolaryngology

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