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Functional endoscopic sinus surgery on a day case out-patient basis
1ENT Section, City Hospital of Halden, Norway.
Clinical Otolaryngology and Allied Sciences
|December 1, 1992
Summary
Endoscopic ethmoidectomies using the Messerklinger technique are effective for treating nasal polyposis and recurrent sinusitis. This outpatient procedure under local anesthesia offers encouraging results with minimal complications.
Area of Science:
- Otolaryngology
- Endoscopic Sinus Surgery
Background:
- Endoscopic ethmoidectomy is a common surgical procedure for sinonasal diseases.
- The Messerklinger technique is a widely adopted method for endoscopic sinus surgery.
Purpose of the Study:
- To evaluate the efficacy and safety of the Messerklinger technique for endoscopic ethmoidectomies.
- To assess outcomes in patients with nasal polyposis and recurrent sinusitis.
Main Methods:
- 195 endoscopic ethmoidectomies were performed on 100 patients (aged 13-79).
- Procedures were based on the Messerklinger technique.
- Patients were grouped by nasal polyposis or recurrent sinusitis, with imaging (CT/hypocycloidal) for sinusitis confirmation.
Main Results:
- Approximately 90% of patients were treated as outpatients under local anesthesia.
- No serious intraoperative complications (bleeding, CSF leak, visual issues) were reported.
- Encouraging postoperative results were observed with a mean follow-up of 14 months.
Conclusions:
- The Messerklinger technique is a safe and effective method for endoscopic ethmoidectomy.
- The procedure is well-suited for outpatient settings in smaller ENT departments.
- Meticulous postoperative care is crucial to prevent adhesions and ostiomeatal obstruction.