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Updated: Jun 20, 2026
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
[Revision endoscopic sinus surgery and combined therapy for recurrent sinusitis]
Liwei Zhu1, Hanqing Zhang, Jiongjiong Hu
1Department of Otorhinolaryngology, East Hospital of Tongji University, Shanghai, 200120, China. deptent@126.com
Summary
Revision endoscopic sinus surgery combined with therapy effectively treats recurrent sinusitis and polyps. This approach achieved a 91.67% efficacy rate with no serious complications in a one-year follow-up.
Area of Science:
- Otolaryngology
- Rhinology
Background:
- Recurrent sinusitis and nasal polyps significantly impact quality of life.
- Revision endoscopic sinus surgery (ESS) is an option for refractory cases.
Purpose of the Study:
- To evaluate the efficacy of revision ESS combined with comprehensive therapy for recurrent sinusitis and nasal polyps.
Main Methods:
- 72 patients underwent revision ESS, including specific techniques like endoscopic nasal lateral wall dissection and endoscopic frontal sinus surgery (Draf I-II).
- All patients received combined therapy: peri-operative conservative management and post-operative endoscopic follow-up.
Main Results:
- A total efficacy rate of 91.67% (66/72) was observed after over one year of follow-up.
- 52 patients were cured, and 10 showed improvement; 13 had no change.
- No serious complications were reported.
Conclusions:
- Revision ESS combined with adequate preoperative preparation, meticulous surgical technique, conservative management, and diligent follow-up significantly improves treatment outcomes for recurrent sinusitis and polyps.