Indications, Evaluation, Complications, and Results of Functional Endoscopic Sinus Surgery in 200 Patients
- 1 June 1993
- journal article
- research article
- Published by Wiley in Otolaryngology -- Head and Neck Surgery
- Vol. 108 (6), 688-696
- https://doi.org/10.1177/019459989310800610
Abstract
Functional endoscopic sinus surgery (FESS) is a new and exciting treatment for chronic sinus disease. Our knowledge of the surgery continues to expand. A retrospective and prospective review of 200 patients undergoing FESS was undertaken at the Houston Ear, Nose, and Throat Clinic. Parameters studied included patient symptoms, medical history, medical therapy, and radiologic findings. Also reviewed were length of hospitalization, complications, and postoperative symptoms. Nasal obstruction was the most common preoperative symptom. Anterior ethmoid and ostiomeatal complex disease were the most common preoperative CT scan findings. More than 84% of the surgeries were performed on an outpatient basis. Minor complications developed in 8% of the patients, and only one major complication occurred (0.05%). With a mean followup of 17 months, 88% of the patients were symptom-free or Improved; however, 41.5% still required some medical therapy. FESS can safely be performed while the patient is under general anesthesia. Partial middle turblnectomy is a safe and recommended procedure; no cases of atrophic rhinitis occurred. We conclude that FESS is a highly successful treatment for chronic sinus disease (p < 0.01) and that a strong patient history for sinus symptoms is the most Important Indication for FESS.Keywords
This publication has 14 references indexed in Scilit:
- Endoscopic sinus surgery: Outcome in 155 casesOtolaryngology -- Head and Neck Surgery, 1991
- Paranasal sinus imagingOtolaryngology -- Head and Neck Surgery, 1990
- Secure Endoscopic Sinus Surgery as an Adjunct to Functional Nasal SurgeryJAMA Otolaryngology–Head & Neck Surgery, 1989
- Endoscopic paranasal sinus surgery: Indications and considerationsThe Laryngoscope, 1989
- Headaches and Sinus Disease: The Endoscopic ApproachAnnals of Otology, Rhinology & Laryngology, 1988
- Paranasal sinuses: CT imaging requirements for endoscopic surgery.Radiology, 1987
- 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
- Rundtischgespräch*: Die Therapie der chronischen SinusitisLaryngo-Rhino-Otologie, 1985
- Functional Endoscopic Sinus Surgery: Theory and Diagnostic EvaluationJAMA Otolaryngology–Head & Neck Surgery, 1985