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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...

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Updated: Jun 18, 2026

Endoscopic Cholesteatoma Surgery
08:47

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Published on: January 19, 2022

Endoscopic sinus surgery: evolution and technical innovations.

S Govindaraj1, N D Adappa, D W Kennedy

  • 1Department of Otolaryngology-Head and Neck Surgery, Mount Sinai School of Medicine, New York, New York, USA.

The Journal of Laryngology and Otology
|November 26, 2009
PubMed
Summary
This summary is machine-generated.

Functional endoscopic sinus surgery evolved from early endoscopic techniques and Messerklinger's research. Advances now allow treatment of complex skull base and orbital diseases beyond inflammation.

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Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Medical History

Background:

  • Early endoscopic techniques preceded functional endoscopic sinus surgery (FESS).
  • Messerklinger's research on mucociliary clearance and intranasal pathology formed FESS's core concepts.
  • FESS gained popularity for treating inflammatory sinus disease in the late 20th century.

Purpose of the Study:

  • To review the evolution of inflammatory sinus disease knowledge and its management impact.
  • To detail technological advances enabling FESS expansion to non-inflammatory conditions.
  • To describe emerging technologies influencing future FESS development.

Main Methods:

  • Historical review of endoscopic sinus surgery development.
  • Analysis of scientific literature on sinus disease pathogenesis and management.
  • Examination of technological advancements in endoscopic intranasal techniques.

Main Results:

  • FESS evolved significantly, expanding beyond inflammatory sinus disease.
  • Technological progress has enabled endoscopic treatment of skull base and orbital pathologies.
  • Ongoing innovations promise further advancements in the field.

Conclusions:

  • Endoscopic sinus surgery has transformed sinus and skull base treatment.
  • Technological innovation is key to expanding endoscopic surgical capabilities.
  • Future developments will likely enhance the scope and efficacy of FESS.