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[Transnasal endoscopic sinus surgery].

G Xu1

  • 1Affiliated Hospital of Medical College, Jinan University, Guangzhou.

Zhonghua Er Bi Yan Hou Ke Za Zhi
|January 1, 1991
PubMed
Summary
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Endoscopic sinus surgery offers a transformative approach to treating chronic sinusitis and related conditions. This minimally invasive technique demonstrated significant symptom improvement and pus clearance in patients undergoing ethmoidectomy and sphenoethmoidectomy procedures.

Area of Science:

  • Otolaryngology
  • Rhinology
  • Minimally Invasive Surgery

Context:

  • Sinus disease treatment has evolved significantly with technological advancements.
  • Endoscopic sinus surgery (ESS) represents a paradigm shift in rhinology.
  • Traditional surgical approaches are being complemented by endoscopic techniques.

Purpose:

  • To evaluate the application of sinus endoscopy in treating various sinus diseases.
  • To present outcomes of functional anterior ethmoidectomy, total ethmoidectomy, and total sphenoethmoidectomy.
  • To assess the efficacy of ESS in chronic ethmoid sinusitis, polysinusitis with polyps, and pansinusitis with polyps.

Summary:

  • Twenty-three patients underwent endoscopic sinus surgery for chronic sinusitis, polysinusitis with polyps, and pansinusitis with polyps.

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  • Procedures included functional anterior ethmoidectomy, total ethmoidectomy, and total sphenoethmoidectomy.
  • Outcomes: pus clearance (60.8%), improved dizziness/headache (95%), improved smell (70%).

    • Impact:

    • ESS provides significant symptomatic relief for patients with complex sinus pathologies.
    • The study highlights the effectiveness and safety of endoscopic techniques in rhinology.
    • Minimally invasive endoscopic approaches can lead to favorable patient outcomes with manageable complications.