Abstract
BackgroundFunctional endoscopic sinus surgery (FESS) is now a well-established strategy for the treatment of chronic rhinosinusitis which has not responded to medical treatment. There is a wide variation in the practice of FESS by various surgeons within the UK and in other countries.ObjectivesTo identify anatomic factors that may predispose to persistent or recurrent disease in patients undergoing revision FESS.MethodsRetrospective review of axial and coronal CT scans of patients undergoing revision FESS between January 2005 and November 2008 in a tertiary referral centre in South West of England.ResultsThe CT scans of 63 patients undergoing revision FESS were reviewed. Among the patients studied, 15.9% had significant deviation of the nasal septum. Lateralised middle turbinates were present in 11.1% of the studied sides, and residual uncinate processes were identified in 57.1% of the studied sides. There were residual cells in the frontal recess in 96% of the studied sides. There were persistent other anterior and posterior ethmoidal cells in 92.1% and 96% of the studied sides respectively.ConclusionsAnalysis of CT scans of patients undergoing revision FESS shows persistent structures and non-dissected cells that may be responsible for persistence or recurrence of rhinosinusitis symptoms. Trials comparing the outcome of conservative FESS techniques with more radical sinus dissections are required.
Highlights
Functional endoscopic sinus surgery (FESS) is a well-established strategy for the treatment of chronic rhinosinusitis which has not responded to medical treatment
Analysis of CT scans of patients undergoing revision FESS shows persistent structures and nondissected cells that may be responsible for persistence or recurrence of rhinosinusitis symptoms
Trials comparing the outcome of conservative FESS techniques with more radical sinus dissections are required
Summary
Functional endoscopic sinus surgery (FESS) is a well-established strategy for the treatment of chronic rhinosinusitis which has not responded to medical treatment. Functional endoscopic sinus surgery (FESS) has become a well established strategy for the treatment of rhinosinusitis not responding to medical treatment [1]. There remains a group of patients in whom FESS does not provide symptomatic relief [3]. Some of these patients may require revision FESS. In a national audit of the sinonasal surgery in the UK, it was shown that 11.4% of patients had revision surgery within 3 years of the primary procedure [4].
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