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[Endoscopic surgery of chronic sinusitis].

G Bambule1

  • 1Hôpital Riviera, site du Samaritain, Vevey, Service d'ORL. georges.bambule@bluemail.ch

Revue Medicale De La Suisse Romande
|November 22, 2001
PubMed
Summary

Endoscopic sinus surgery (ESS) offers long-term relief for chronic sinusitis, with significant improvements in nasal breathing and objective findings. While olfaction improvements are less pronounced, overall success rates remain high, demonstrating ESS efficacy.

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Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Innovation

Context:

  • Chronic sinusitis affects a significant patient population, often proving resistant to medical management.
  • Endoscopic sinus surgery (ESS) has become a primary surgical intervention for complex sinonasal diseases.
  • Pansinusal polyposis presents unique challenges requiring comprehensive surgical and long-term management strategies.

Purpose:

  • To evaluate the long-term objective and subjective outcomes of endoscopic sinus surgery (ESS) in patients with pansinusal polyposis.
  • To assess the efficacy of ESS in improving symptoms such as nasal breathing and olfaction.
  • To analyze complication rates and the need for revision surgery following ESS for chronic sinusitis.

Summary:

  • A retrospective study analyzed 212 patients undergoing ESS for pansinusal polyposis with an average 8.6-year follow-up.
  • High subjective success rates (82% at 8.6 years) and objective endoscopic normality (79.2% at 8.6 years) were observed.
  • Nasal breathing showed significant improvement (91%), while olfaction improved in 60% of cases; 12.2% required revision surgery.

Impact:

  • Demonstrates the durable efficacy of ESS in managing challenging cases of chronic sinusitis with polyposis.
  • Provides valuable long-term data on symptom relief, functional improvement, and surgical outcomes.
  • Highlights the safety profile of ESS, with a low rate of major complications (0.4%).

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