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Updated: Jan 27, 2026
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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Preserving Function, Enhancing Precision: The Rise of Personalized Endonasal Sinus Surgery
Lino Di Rienzo Businco1, Abdillah Hasbi Assadyk2
1Department of Otorhinolaryngology, UBRI (Ultrastructural Biophysics Research Institute) Institute and San Giovanni Battista Hospital, Order of Malta, Rome, ITA.
Cureus
|January 26, 2026
Summary
Thinvasive surgery offers a minimally invasive, function-preserving approach to managing chronic rhinosinusitis (CRS). This paradigm integrates modern endoscopic sinus surgery techniques with advanced patient assessment for personalized treatment.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Rhinosinusitis Management
Background:
- Chronic rhinosinusitis (CRS) is a prevalent condition significantly affecting patient quality of life.
- Management of CRS has evolved with surgical advancements and improved understanding of mucosal pathophysiology.
- A gap exists in literature regarding the integration of novel techniques into CRS surgical management.
Purpose of the Study:
- To review the evolution of endonasal sinus surgery.
- To present the concept of "Thinvasive" surgery as a modern paradigm for CRS management.
- To discuss the integration of current innovations and patient-specific assessment strategies.
Main Methods:
- Comprehensive literature review of historical and current endoscopic sinus surgery techniques.
- Analysis of advancements including image-guided FESS and balloon sinuplasty.
- Evaluation of the Thinvasive approach incorporating radiologic and functional assessment tools.
Main Results:
- The evolution from external procedures to functional endoscopic sinus surgery (FESS) emphasized mucosal preservation.
- Minimal-access modalities like image-guided FESS and balloon sinuplasty enable precise interventions.
- The Thinvasive approach combines these innovations with patient-specific assessments for personalized CRS care.
Conclusions:
- Thinvasive surgery represents a promising hybrid between medical and surgical treatments for CRS.
- This approach integrates current endoscopic sinus surgery advancements with tailored patient evaluation.
- Further research is required to establish long-term efficacy and standardize patient selection for Thinvasive techniques.
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