Abstract
Some of the most exciting advances in otolaryngology—head and neck surgery during the past year have been new applications of fiberoptic technology. Traditional surgical techniques for the nose, paranasal sinuses, the airway, and the ear have been refined and improved. Transnasal endoscopic approaches for sinus surgery have been used for several years, and this surgery is becoming safer and more effective. In a recent series of 250 patients, 8.3% developed minor perioperative complications, with only 0.7% developing major complications. At 12-month follow-up, more than 80% of patients with chronic sinusitis had symptom relief.<sup>1</sup>The same type of transnasal endoscopic approach can be used for removal of antrochoanal polyps.<sup>2</sup> Surgery for refractory chronic sinusitis has been a difficult problem in children, in part because of the immature anatomy. The better visualization afforded by the endoscope permits safer, more effective pediatric sinus surgery. For example, transnasal endoscopic ethmoidectomy was performed
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