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[Endonasal microsurgery by Heermann++. Part II]

R Wielgosz¹, E Mroczkowski

¹Kliniki Laryngologicznej Szpitala Alfrieda Kruppa w Essen, Niemcy.

Otolaryngologia Polska = the Polish Otolaryngology

|January 1, 1994

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Endonasal sinus surgery offers a high success rate for inflammatory sinus disease. This microsurgical approach results in better outcomes and fewer complications compared to external methods.

Area of Science:

Otolaryngology and Rhinology
Minimally Invasive Surgical Techniques

Background:

Inflammatory sinus disease management increasingly utilizes endonasal surgical approaches.
Microsurgical techniques are employed for maxillary, ethmoid, sphenoid, and frontal sinus operations, alongside septoplasty.

Discussion:

The study retrospectively analyzed 251 endonasal microsurgeries performed on 310 patients, with follow-up ranging from 12 to 36 months.
The preferred method involves semi-Fowler's position and hypotensive anesthesia for intranasal procedures.
Transantral microsurgical techniques demonstrate advantages over transfacial or external sinus surgery, including improved functional results and reduced hospitalization.

Key Insights:

An operative success rate of 92.8% was achieved in the studied cohort.
No significant complications such as cerebrospinal fluid leakage, persistent visual or ocular disturbances, or vascular issues were reported.

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Endonasal microsurgery is a safe and effective treatment for chronic inflammatory sinus conditions.

Outlook:

Further research can explore long-term outcomes and patient-reported quality of life.
Continued refinement of microsurgical techniques may expand indications and improve patient selection.