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Updated: Jun 25, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Symptom outcomes following endoscopic sinus surgery.

Alexander C Chester¹

¹Department of Medicine, Georgetown University Hospital, Washington, District of Columbia, USA. achester@foxhallinternists.com

Current Opinion in Otolaryngology & Head and Neck Surgery

|February 20, 2009

Summary

Endoscopic sinus surgery (ESS) significantly improves most chronic rhinosinusitis (CRS) symptoms. While nasal obstruction shows the greatest improvement, fatigue and bodily pain also see meaningful gains after ESS.

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Last Updated: Jun 25, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Area of Science:

Otolaryngology
Surgical Outcomes Research

Background:

Chronic rhinosinusitis (CRS) significantly impacts patient quality of life.
Endoscopic sinus surgery (ESS) is a common treatment for refractory CRS.

Purpose of the Study:

To synthesize recent evidence on the effectiveness of ESS for various CRS symptoms.
To analyze the impact of ESS on symptom severity, pain, fatigue, and psychological factors.

Main Methods:

Systematic review and meta-analysis of studies reporting CRS symptom outcomes post-ESS.
Inclusion of data from over 18 different survey instruments and symptom scoring systems.
Calculation of effect sizes for individual and pooled symptom improvements.

Main Results:

Most major CRS symptoms demonstrated significant improvement after ESS (overall effect size 1.19).
Nasal obstruction showed the largest improvement (effect size 1.73), while headache and hyposmia improved less.
Fatigue and bodily pain, often elevated in CRS patients, improved by a clinically meaningful degree (approx. 0.5 SD).

Conclusions:

ESS generally leads to comparable improvements across major CRS symptoms.
Associated symptoms like bodily pain and fatigue are positively impacted by ESS.
Depression is linked to lower quality of life pre- and post-surgery but does not confound symptom reporting.