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Updated: Jun 2, 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

Revision rates after endoscopic sinus surgery: a recurrence analysis.

Daniel Mendelsohn¹, Goran Jeremic, Erin D Wright

¹Department of Otolaryngology-Head and Neck Surgery, University of Western Ontario, London.

The Annals of Otology, Rhinology, and Laryngology

|April 23, 2011

Summary

Revision surgery for chronic rhinosinusitis with nasal polyposis is common, particularly for patients with Samter's triad or frontal sinus disease. Informing patients about recurrence likelihood is crucial for managing expectations after endoscopic sinus surgery.

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Area of Science:

Otolaryngology
Surgical Outcomes Research

Background:

Chronic rhinosinusitis with nasal polyposis (CRSwNP) often presents treatment challenges.
Patients with asthma and aspirin intolerance (Samter's triad) frequently experience refractory disease.

Purpose of the Study:

To investigate recurrence and revision surgery rates after endoscopic sinus surgery (ESS) for CRSwNP.
To identify patient factors associated with higher revision surgery rates.

Main Methods:

A cohort study utilizing survival analysis.
Reviewed records of 549 patients undergoing ESS over 10 years.
Kaplan-Meier analyses assessed disease-free and surgery-free survival.

Main Results:

Samter's triad significantly increased recurrence and revision surgery likelihood (OR 2.7).

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Last Updated: Jun 2, 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

Initial frontal sinus disease also elevated revision surgery risk (OR 1.6).

Conclusions:

Revision surgery rates following ESS for CRSwNP are substantial.
Asthma, Samter's triad, and frontal sinus disease are key predictors of recurrence.
Routine patient counseling on recurrence risk and consideration of early intervention for frontal sinus disease are recommended.