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Long-term results of functional endoscopic sinus surgery
B A Senior1, D W Kennedy, J Tanabodee
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, USA.
The Laryngoscope
|February 24, 1998
Summary
Long-term follow-up of functional endoscopic sinus surgery (FESS) for chronic sinusitis shows sustained symptom improvement in 98.4% of patients. Appropriate postoperative care is key to maintaining excellent results and minimizing the need for revision surgery.
Area of Science:
- Otolaryngology
- Surgical Outcomes
- Chronic Rhinosinusitis
Background:
- Limited data exists on the long-term impact of functional endoscopic sinus surgery (FESS) on chronic sinusitis.
- Previous short-term follow-up (18 months) was reported for this cohort.
Purpose of the Study:
- To assess the long-term outcomes of FESS in patients with chronic sinusitis.
- To evaluate the durability of subjective symptom improvement after FESS.
- To identify factors influencing the need for subsequent surgical procedures.
Main Methods:
- Long-term follow-up (average 7.8 years) of 72 patients (60% of original cohort) who previously underwent FESS.
- Evaluation of subjective symptom scores and need for further surgery.
- Analysis of preoperative factors potentially affecting surgical outcomes.
Main Results:
- 98.4% of patients reported overall symptom improvement compared to pre-surgery levels.
- A trend towards continued subjective improvement was observed with longer follow-up, though not statistically significant.
- 18% of patients required subsequent surgical interventions.
Conclusions:
- Excellent subjective results following FESS for chronic sinusitis can be maintained long-term with proper postoperative management.
- Successful normalization of the surgical cavity post-FESS is associated with a lower likelihood of requiring revision surgery.