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Revision functional endonasal sinus surgery.

R H Lazar1, R T Younis, T E Long

  • 1Le Bonheur Children's Medical Center, Memphis, Tennessee.

Ear, Nose, & Throat Journal
|March 1, 1992
PubMed
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Revision functional endonasal sinus surgery (FESS) offers a high success rate for persistent sinusitis. This procedure effectively manages chronic sinus disease in both children and adults when primary treatments fail.

Area of Science:

  • Otolaryngology
  • Rhinology
  • Surgical Outcomes

Background:

  • Chronic or recurrent sinusitis often requires intervention beyond initial treatments.
  • Persistent symptoms despite maximal medical therapy and primary surgery necessitate further evaluation.
  • Computed tomography (CT) is crucial for identifying anatomical abnormalities before revision surgery.

Purpose of the Study:

  • To evaluate the management and outcomes of revision functional endonasal sinus surgery (FESS).
  • To determine the success rate and complication profile of revision FESS in pediatric and adult populations.

Main Methods:

  • Retrospective analysis of 63 revision FESS cases performed between 1986 and 1989.
  • Inclusion criteria: persistent sinusitis symptoms post-primary FESS and medical therapy, with normal CT findings.

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  • Patient cohort comprised 16 children (<16 years) and 47 adults.

    • Main Results:

    • Revision FESS demonstrated an overall success rate of 78%.
    • No major complications were reported during the study period.
    • The procedure reflects improved management strategies for complex sinus disease.

    Conclusions:

    • Revision FESS is a recommended option for patients with refractory chronic or recurrent sinusitis.
    • The procedure is safe and effective, yielding high success rates with minimal complications.
    • This study highlights the value of revision FESS in managing challenging sinus disease cases.