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Revision functional endoscopic sinus surgery.

Rong-San Jiang1, Chen-Yi Hsu

  • 1Department of Otolaryngology, Taichung Veterans General Hospital, Taiwan, Republic of China.

The Annals of Otology, Rhinology, and Laryngology
|February 28, 2002
PubMed
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Revision functional endoscopic sinus surgery (RESS) can improve chronic sinusitis symptoms in 65% of patients. While RESS is challenging due to altered anatomy, meticulous techniques maintain complication rates similar to primary surgery.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Rhinology

Background:

  • Chronic sinusitis affects many patients, with primary functional endoscopic sinus surgery (FESS) failing in 2% to 24% of cases.
  • Revision functional endoscopic sinus surgery (RESS) is an option for persistent symptoms after initial FESS and medical management.

Purpose of the Study:

  • To evaluate the efficacy and safety of revision functional endoscopic sinus surgery (RESS) in patients with chronic sinusitis.
  • To compare complication rates and outcomes of RESS versus primary FESS.

Main Methods:

  • Retrospective study of 142 RESS procedures performed between April 1988 and March 1998.
  • Analysis of patient outcomes, including symptom improvement and complication rates.

Main Results:

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  • Complications occurred in 9.9% of RESS procedures.
  • Sixty-five percent of patients experienced symptom improvement after RESS.
  • RESS, while technically more demanding due to altered anatomy, did not show increased complication rates with careful surgical technique.

Conclusions:

  • RESS is a viable option for chronic sinusitis patients with persistent symptoms.
  • Meticulous surgical technique is crucial to minimize complications during RESS.
  • The success rate of RESS is lower than that of primary FESS, highlighting the importance of initial surgical success.