Persistent local demucosalization after endoscopic sinus surgery: A report of 3 cases

Area of Science:

• Otolaryngology
• Surgical Pathology

Background:

• Mucosal preservation is crucial for successful endoscopic sinus surgery (ESS) outcomes.
• Persistent demucosalization, a rare complication of ESS, can be resistant to conservative treatments.

Purpose of the Study:

• To evaluate the effectiveness of surgical debridement for managing persistent demucosalization after ESS.
• To identify potential underlying causes and effective treatment strategies for this rare complication.

Main Methods:

• Retrospective review of three patients with persistent demucosalization post-ESS.
• Analysis of wound management strategies including mechanical debridement, gelatin sponge placement, and intensive moisturization.
• Consideration of biopsy and culture for identifying underlying disease processes or infections.

Main Results:

• Two of three patients achieved successful remucosalization with the described treatment approach.
• The intervention involved mechanical debridement, gelatin sponge placement, and intensive moisturization therapy.

Conclusions:

• Surgical debridement may be an effective strategy for chronic, persistent demucosalized wounds following ESS.
• Biopsy and culture can aid in diagnosing and managing rare, persistent postoperative complications of ESS.