Related Experiment Video
Updated: Aug 11, 2026
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
Revision endoscopic sinus surgery: the Thomas Jefferson University experience
R L Moses1, A Cornetta, J P Atkins
1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107-5098, USA.
Ear, Nose, & Throat Journal
|April 29, 1998
Summary
Revision endoscopic sinus surgery (RESS) is needed for patients unresponsive to initial FESS. Factors like polyps, allergies, and deviated septum impact RESS outcomes, highlighting the need for anatomical knowledge and advanced techniques.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Functional endoscopic sinus surgery (FESS) has high success rates.
- A subset of patients require revision endoscopic sinus surgery (RESS) after initial FESS and medical therapy failure.
- Understanding factors affecting RESS outcomes is crucial for improving patient care.
Purpose of the Study:
- To evaluate outcomes and identify factors influencing revision endoscopic sinus surgery (RESS).
- To assess the success rate and complication profile of RESS.
- To explore the role of computer-assisted surgery in RESS.
Main Methods:
- Retrospective review of 90 RESS patients from 753 primary FESS cases.
- Mean follow-up of 22.8 months.
- Analysis of patient factors and surgical outcomes.
Main Results:
- Factors adversely affecting RESS outcome included extent of disease, polyp history, allergy, prior surgery, male gender, steroid use, and deviated septum.
- RESS was associated with a 1% major complication rate.
- Successful outcomes were achieved in 67% of RESS patients.
Conclusions:
- Surgeon's anatomical knowledge is critical in RESS due to distorted landmarks.
- Computer-assisted endoscopic sinus surgery can enhance anatomical understanding and minimize risks.
- Further research into optimizing RESS for challenging cases is warranted.
