Otolaryngology Book


Sinus Surgery

Aka: Sinus Surgery, Functional Endoscopic Sinus Surgery, FESS
  1. See Also
    1. Rhinosinusitis
    2. Sinusitis Management
  2. 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
  3. 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
  4. References
    1. Anand (1997) Otolaryngol Head Neck Surg 117:S50-2 [PubMed]
    2. Osguthorpe (1999) Otolaryngol Head Neck Surg 120:451-3 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree