Sinus Surgery

Aka: Sinus Surgery, Functional Endoscopic Sinus Surgery, FESS

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II. Sinus Surgery Indications

  1. Absolute Indications
    1. Contiguous extrasinus spread of infection
    2. Mucocele
    3. Pyocele
    4. Fungal Sinusitis
    5. Allergic Fungal Sinusitis
    6. Large, obstructing Nasal Polyps
  2. Relative Indications
    1. Recurrent Acute Bacterial Rhinosinusitis
    2. Refractory Chronic Rhinosinusitis
    3. Persistent osteomeatal complex obstruction

III. Efficacy of Sinus Surgery

  1. Revision rate: 18-20%
  2. Serious complications: 0.2 to 0.6%
  3. Relief of symptoms
    1. No predisposing factors: 93% after one surgery
    2. Predisposing factors: 80-85% efficacy
      1. Asthma
      2. Tobacco Abuse
    3. Significant comorbid condition: <50% efficacy
      1. Aspirin triad
      2. Immunodeficiency
      3. Cystic Fibrosis
      4. Allergic Fungal Sinusitis

IV. References

  1. Anand (1997) Otolaryngol Head Neck Surg 117:S50-2 [PubMed]
  2. Osguthorpe (1999) Otolaryngol Head Neck Surg 120:451-3 [PubMed]

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