Abstract
The surgical management of chronic rhinosinusitis has evolved considerably in the last decade. We currently have a more refined understanding of the various disease entities that make up the generic diagnosis of chronic rhinosinusitis. This has led to the development of more sophisticated medical and surgical therapy for the different entities. Failure of maximal medical therapy leads to the consideration of surgical intervention with the general intent of improving the patient's quality of life. Recent technical innovations such as mucosa-preserving instrumentation and image guidance systems for intraoperative localization have given surgeons increased confidence and enabled more complete and effective surgical management of chronic rhinosinusitis, particularly in revision surgeries or in the presence of distorted landmarks. Improved packing materials and refinement of postoperative care are active areas of investigation and innovation that, it is hoped, will also translate into improved patient care.
Highlights
The surgical management of chronic rhinosinusitis has evolved considerably in the last decade
This article is intended to provide an overview of the surgical management of chronic rhinosinusitis (CRS)
CRS is primarily a clinical diagnosis based on history and physical examination
Summary
This article is intended to provide an overview of the surgical management of chronic rhinosinusitis (CRS). D. Wright — Department of Otolaryngology, University of Western Ontario, London, Ontario; S. Frenkiel — Department of Otolaryngology, McGill University, Montreal, Quebec Correspondence to: Dr Erin D. London Rhinosinology Centre, St. Joseph’s Health Care, 900 Richmond Street, 3rd Floor, London, ON N6A 5B3 on the part of the reader, of sinonasal anatomy and physiology which are well covered elsewhere and beyond the scope of this review.[1,2]
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