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Thomas Bitter, Orlando Guntinas-Lichius

    Laryngo- Rhino- Otologie
    |June 6, 2019
    PubMed
    Summary
    This summary is machine-generated.

    Functional endoscopic sinus surgery (FESS) removes paranasal sinus pathologies while preserving healthy tissue. This review details FESS principles, anatomy, surgical steps, and complication management for chronic rhinosinusitis.

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    Area of Science:

    • Otorhinolaryngology
    • Surgical Anatomy
    • Medical Imaging

    Background:

    • Chronic rhinosinusitis necessitates surgical intervention.
    • Functional endoscopic sinus surgery (FESS) is the standard minimal-invasive treatment.
    • Understanding paranasal sinus anatomy is crucial for FESS.

    Purpose of the Study:

    • To review the essential knowledge for otorhinolaryngologists regarding FESS.
    • To explain the principles, steps, and equipment used in FESS.
    • To elucidate potential complications and their management.

    Main Methods:

    • Review of anatomical knowledge of paranasal sinuses.
    • Explanation of FESS surgical principles and techniques.
    • Description of surgical equipment and complication management strategies.

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    Main Results:

    • FESS aims to excise diseased sinus tissue while preserving normal structures.
    • Preoperative computed tomography is vital for surgical planning.
    • Classification of disease severity and surgical extent is possible.

    Conclusions:

    • FESS requires thorough anatomical understanding and precise surgical execution.
    • Knowledge of FESS principles, steps, and potential complications is essential for surgeons.
    • Effective management of FESS complications ensures optimal patient outcomes.