Revision Functional Endonasal Sinus Surgery

Author:

Lazar Rande H.1,Younis Ramzi T.2,Long Thomas E.3,Gross Charles W.4

Affiliation:

1. Director of Pediatric Otolaryngology Fellowship Training, Le Bonheur Children's Medical Center. Chairman, Otolaryngology - Head and Neck Surgery, Methodist Hospitals of Memphis, Memphis, Tennessee.

2. Pediatric Otolaryngology Fellow, Le Bonheur Children's Medical Center, Memphis, Tennessee.

3. Division Consultant, Department of Otolaryngology, Le Bonheur Children's Medical Center, Memphis, Tennessee.

4. Professor, Department of Otolaryngology, University of Virginia, Charlottesville, Virginia.

Abstract

Revision functional endonasal sinus surgery (FESS) is recommended for patients whose symptoms of chronic or recurrent sinusitis persist despite primary FESS, long-term maximal medical therapy, and no sign of other abnormalities as demonstrated by computed tomography. After analyzing the charts of 673 patients who underwent primary FESS, we reviewed the 63 cases of revision surgery performed between 1986 and 1989. This retrospective analysis presents the management and outcome of 16 children (<16 years) and 47 adults who had revision FESS. The overall success rate of revision FESS was 78%, with no major complications, reflecting the improved management of sinus disease offered by this procedure.

Publisher

SAGE Publications

Subject

Otorhinolaryngology

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