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Endoscopic sinus surgery: A review
1Professor; and Chair, Department of Otorhinolaryngology- Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
Primary Care
|July 23, 1998
Summary
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.
- Initially for chronic sinus disease, ESS now treats polyposis, tumors, and skull base defects.
Purpose of the Study:
- To review controversies in ESS.
- To present critical issues regarding new instrumentation and extended approaches in ESS.
Main Methods:
- Literature review of current endoscopic sinus surgery practices.
- Analysis of controversies and emerging techniques.
Main Results:
- ESS is a versatile approach for diverse sinonasal pathologies.
- Several aspects of diagnosis and treatment in ESS remain debated.
- Newer instrumentation and extended approaches present specific challenges.
Conclusions:
- ESS has expanded its scope considerably.
- Further understanding and standardization are needed for controversial aspects of ESS.
- Critical evaluation of advanced techniques and instruments is essential.