Long‐term Results of Functional Endoscopic Sinus Surgery

Abstract

Although much has been reported on the short-term outcomes of functional endoscopic sinus surgery (FESS), little has been reported with regard to its long-term impact on chronic sinusitis. The senior author (D.W.K.) previously reported detailed subjective and endoscopic follow-up on 120 patients at a mean of 18 months following surgery. This current study represents a long-term follow-up (average, 7.8 years) of 72 patients (60%) from the same cohort. Of patients responding to a question about overall symptoms, 98.4% (n = 66) reported improvement compared with before surgery. There was a trend toward continued subjective improvement in symptom scores with longer follow-up, but the changes did not reach statistical significance. Thirteen patients (18%) required subsequent surgical procedures. Preoperative stage, prior surgery, and other factors that might affect outcome were evaluated. The study demonstrates that excellent subjective results following FESS can be maintained in the long term with appropriate postoperative management. The study also validates the concept that patients in whom the cavity can be normalized following surgery are unlikely to require further surgery.

Study of Diagnostic Nasal Endoscopy and Sinonasal Grading

“…8 From the literature, it appears that nasal endoscopy provides more important objective evidence of CRS and corroborates findings with polyps grades in the majority of patients. 6,9,10 In some cases, infections also found with harvesting of inflammatory mediators or eosinophils. 8 The radiographical diagnosis may not ne indicated in this study, thus it could probably be considered when the symptoms persist in spite of medical therapy or when a surgical intervention is needed.…”

“…The lack of continuous suction at the operative site is a technical limitation that compounds the stress for the surgeon and increases the inherent risk for the patient. 3,6 Int J Med Res Prof.2016; 2(5); 93-96.…”

The role of balloon sinuplasty in the treatment of sinus headache

“…Senior et al [12] reported improvement in headache in 47 of 51 patients at 7.8-year after ESS, while Moretz in 2006 [13] reported that 91.9% of patients with headache symptoms improvement 2 years after surgery.…”

Subclinical chronic sinusitis causing presumed ventriculoperitoneal shunt sepsis in a child

“…Moreover, we felt that the radiological features warranted a surgical intervention to forestall development of any intracranial or orbital complication. Whereas failed medical therapy is treated surgically in adults with Endoscopic Sinus Surgery (ESS) [8], in children various surgical options are often initially carried out before ESS is considered mainly because of the fear of facial growth retardation that may be caused by ESS. This complication however appears largely only putative [9].…”