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Functional endoscopic sinus surgery--I (Anatomy, diagnosis, evaluation and technique)
S R Nayak1, M V Kirtane, M V Ingle
1E.N.T. Department, K.E.M. Hospital, Parel, Bombay, Maharashtra.
Journal of Postgraduate Medicine
|January 1, 1991
Summary
Disease in the maxillary and frontal sinuses stems from the ostiomeatal complex, primarily the anterior ethmoid. Functional endoscopic sinus surgery (FESS) addresses this ethmoid pathology to restore sinus ventilation and clearance.
Area of Science:
- Otolaryngology
- Rhinology
- Surgical Anatomy
Background:
- Disease in the maxillary and frontal sinuses is often secondary to issues within the ostiomeatal complex.
- The anterior ethmoid is identified as the primary focus of pathology in the ostiomeatal complex.
Purpose of the Study:
- To explain the rationale behind functional endoscopic sinus surgery (FESS).
- To highlight FESS's role in addressing the root cause of sinus disease.
Main Methods:
- Focuses on the anatomical and pathological basis of sinus disease.
- Describes the surgical goals of FESS.
Main Results:
- Establishes a clear link between anterior ethmoid pathology and dependent sinus disease.
- Demonstrates that FESS corrects underlying ethmoid issues.
Conclusions:
- Correcting anterior ethmoid pathology via FESS is crucial for treating maxillary and frontal sinus disease.
- FESS effectively re-establishes normal sinus ventilation and mucociliary clearance.