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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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Sinusitis.

James Wilcox¹, Daniela Lobo², Sierra Anderson³

¹Department of Family Medicine, Indiana University School of Medicine, 980 Indiana Avenue Lockefield Village 1164, Indianapolis, IN 46202, USA.

|February 12, 2025

Summary

This study details sinusitis, an inflammation of the paranasal sinuses. It covers diagnosis, management strategies including medications and surgery, and emerging therapies for various sinusitis types.

Keywords:

Acute bacterial sinusitis Chronic sinusitis Pott puffy tumor Rhinosinusitis Sinusitis

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Area of Science:

Otolaryngology
Allergy and Immunology
Infectious Diseases

Background:

Sinusitis involves inflammation of the paranasal sinuses.
It presents in acute, subacute, recurrent, or chronic forms.
Each form has unique clinical features and requires specific treatment.

Purpose of the Study:

To provide a comprehensive overview of sinusitis.
To detail its pathophysiology, clinical manifestations, and diagnostic criteria.
To outline current and emerging management strategies.

Main Methods:

Review of existing literature on sinusitis.
Analysis of diagnostic approaches including clinical evaluation, imaging, and endoscopy.
Evaluation of pharmacologic (antibiotics, corticosteroids) and non-pharmacologic treatments.
Assessment of surgical interventions and novel therapies like biologics.

Main Results:

Sinusitis classification includes acute, subacute, recurrent, and chronic.
Diagnosis combines clinical assessment with imaging and/or endoscopy.
Treatment strategies are tailored to sinusitis type and severity.
Functional endoscopic sinus surgery and emerging therapies address refractory cases.

Conclusions:

Effective sinusitis management requires accurate diagnosis and tailored treatment.
Pharmacologic and surgical options are available for diverse sinusitis presentations.
Emerging therapies show promise for improving outcomes in chronic or refractory sinusitis.