Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Functional vs. radical maxillary surgery. Failures after functional endoscopic sinus surgery

M Penttilä1, M Rautiainen, J Pukander

  • 1Department of Otorhinolaryngology, Tampere University Hospital, Finland.

Acta Oto-Laryngologica. Supplementum
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Ultra-low-dose CBCT: new cornerstone of paranasal sinus imaging.

Rhinology·2023
Same author

Correction to: Relatively low and moderate pre-fracture serum 25-hydroxyvitamin D levels associated with the highest survival in elderly hip fracture patients in Finland: a minimum 3-year follow-up.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2021
Same author

Relatively low and moderate pre-fracture serum 25-hydroxyvitamin D levels associated with the highest survival in elderly hip fracture patients in Finland: a minimum 3-year follow-up.

Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·2021
Same author

Evaluation of minimal fracture liaison service resource: costs and survival in secondary fracture prevention-a prospective one-year study in South-Finland.

Aging clinical and experimental research·2021
Same author

Use of benzodiazepines, z-hypnotics and antidepressants among hip fracture patients in Finland. Consistency between recorded and detected benzodiazepines.

Archives of gerontology and geriatrics·2020
Same author

Diagnostic Accuracy of Symptoms, Endoscopy, and Imaging Signs of Chronic Rhinosinusitis Without Nasal Polyps Compared to Allergic Rhinitis.

American journal of rhinology & allergy·2018
Same journal

Towards a consensus on a hearing preservation classification system.

Acta oto-laryngologica. Supplementum·2013
Same journal

Inner ear drug delivery system from the clinical point of view.

Acta oto-laryngologica. Supplementum·2010
Same journal

Hydrogen protects vestibular hair cells from free radicals.

Acta oto-laryngologica. Supplementum·2010
Same journal

Distribution of bone marrow-derived cells in the vestibular end organs and the endolymphatic sac.

Acta oto-laryngologica. Supplementum·2010
Same journal

Impacts and limitations of medialization thyroplasty on swallowing function of patients with unilateral vocal fold paralysis.

Acta oto-laryngologica. Supplementum·2010
Same journal

A tissue-engineering approach for stenosis of the trachea and/or cricoid.

Acta oto-laryngologica. Supplementum·2010
See all related articles

Functional Endoscopic Sinus surgery (FES) showed better symptom improvement than Caldwell-Luc (C-L) operations for chronic maxillary sinusitis initially. Long-term results indicated comparable outcomes, with higher reoperation rates for FES.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Sinusitis Treatment

Background:

  • Chronic maxillary sinusitis presents a persistent clinical challenge.
  • Surgical interventions like Caldwell-Luc (C-L) and Functional Endoscopic Sinus surgery (FES) are employed for management.
  • Comparative long-term efficacy data between these procedures are crucial for clinical decision-making.

Purpose of the Study:

  • To compare the long-term outcomes of randomized Functional Endoscopic Sinus surgery (FES) versus Caldwell-Luc (C-L) operations for chronic maxillary sinusitis.
  • To evaluate symptom resolution, patient satisfaction, and reoperation rates over extended follow-up periods.

Main Methods:

  • A randomized trial involving 150 patients with chronic maxillary sinusitis.
  • Procedures included either FES or C-L operations.

Related Experiment Videos

  • Follow-up assessments were conducted at 1 year and 5-9 years postoperatively, utilizing patient questionnaires and clinical evaluation.

    • Main Results:

    • One year post-surgery, 77% of FES patients reported symptom improvement compared to 51% of C-L patients.
    • At 5-9 years, 82% of C-L patients and 76% of FES patients reported sustained improvement.
    • Reoperation rates were 18% for C-L and 20% for FES, primarily for sinusitis or polyposis.

    Conclusions:

    • While FES demonstrated superior short-term symptom relief, long-term outcomes were comparable between FES and C-L operations for chronic maxillary sinusitis.
    • A significant proportion of FES patients experienced long-term failure or expressed dissatisfaction, necessitating careful patient selection and expectation management.
    • Revision surgery is frequently required for both procedures, highlighting the complex nature of chronic maxillary sinusitis management.