Chronic Rhinosinusitis: Matching the Extent of Surgery with Pathology or Does the Extent of Surgery Matter?

Abstract

Abstract Purpose of Review The purpose of this review is to summarize the current literature on the extensiveness of surgery in patients with diffuse type 2 chronic rhinosinusitis (CRS). Recent Findings There is currently no consensus on the role of the extent of sinus surgery in disease control and definitions of surgical terms in diffuse type 2 CRS. Several suggestions have been made to quantify the extent of surgery or standardize the description of surgical interventions. Summary The extent of surgery in CRS depends potentially on the severity of disease and the type of underlying inflammation. A variety of extended endoscopic procedures can be used in the management of primary diffuse bilateral type 2 chronic rhinosinusitis; however, long-term follow-up results and clear definitions of complete surgery are lacking in the current literature.