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Endoscopic sinus surgery. A review

D W Kennedy1, B A Senior

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104-4283, USA.

Otolaryngologic Clinics of North America
|June 1, 1997
PubMed
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Endoscopic sinus surgery is now used for complex conditions beyond chronic sinus disease. This review addresses ongoing controversies and critical issues in advanced endoscopic sinus surgery techniques and instrumentation.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Rhinology

Background:

  • Endoscopic sinus surgery (ESS) has evolved significantly from its initial application for chronic sinus disease.
  • Current ESS applications extend to treating sinonasal polyposis, benign tumors, skull base defects, and orbital lesions.
  • Certain aspects of endoscopic diagnosis and treatment within ESS remain subjects of debate and incomplete understanding.

Purpose of the Study:

  • To review the controversies surrounding endoscopic sinus surgery.
  • To present critical issues related to advanced instrumentation in ESS.
  • To discuss newer extended surgical approaches in ESS.

Main Methods:

  • Literature review of current controversies in endoscopic sinus surgery.
  • Analysis of critical issues concerning advanced instrumentation.

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  • Examination of newer extended endoscopic surgical approaches.

    • Main Results:

    • ESS is now a versatile approach for diverse sinonasal pathologies.
    • Significant controversies persist regarding specific diagnostic and therapeutic aspects of ESS.
    • Emerging instrumentation and extended approaches present unique challenges and require further investigation.

    Conclusions:

    • Endoscopic sinus surgery has expanded its scope considerably.
    • Addressing controversies and understanding critical issues in advanced ESS are crucial for optimizing patient outcomes.
    • Further research into newer instrumentation and extended approaches is warranted.