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[Endonasal endoscopic ethmoidectomy in acute therapy refractory sinusitis]
1Universitäts-Hals-Nasen-Ohrenklinik Würzburg.
Laryngo- Rhino- Otologie
|May 1, 1996
Summary
Functional endoscopic endonasal sinus surgery (FESS) offers effective treatment for acute sinusitis unresponsive to conservative methods. Early consideration of FESS can resolve complicated sinusitis and its related complications.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Acute sinusitis often requires conservative treatment, but some cases do not respond.
- Functional endoscopic endonasal sinus surgery (FESS) is established for chronic sinus diseases and was explored for acute complicated sinusitis.
Purpose of the Study:
- To evaluate the efficacy of FESS in treating acute complicated sinusitis when conservative methods fail.
Main Methods:
- Ethmoidectomy via FESS was performed on 43 patients with acute inflammatory sinus disease unresponsive to conservative treatment.
- Procedures included frontal, maxillary, ethmoid, sphenoid sinusitis, orbital complications, and pyomucocele.
- Coronal CT scans identified ethmoid mucosal pathology in 41 patients; none had nasal polyposis.
Main Results:
- All patients experienced symptom relief within two days post-surgery.
- Revision surgery was needed for three patients with previous osteoplastic procedures.
- No recurrent sinusitis symptoms were observed during the nine-month follow-up.
Conclusions:
- FESS should be considered early for acute sinusitis and its complications if conservative treatment is ineffective.
- This surgical approach provides rapid symptom relief and prevents recurrence.