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Sinus SurgeryAka: Functional Endoscopic Sinus Surgery, FESS

See Also
1. Rhinosinusitis
2. Sinusitis Management
Sinus Surgery Indications
1. Absolute Indications
  1. Contiguous extrasinus spread of infection
  2. Mucocele
  3. Pyocele
  4. Fungal Sinusitis
  5. Allergic Fungal Sinusitis
  6. Large, obstructing Nasal Polyps
2. Relative Indications
  1. Recurrent Acute Bacterial Rhinosinusitis
  2. Refractory Chronic Rhinosinusitis
  3. Persistent osteomeatal complex obstruction
Efficacy of Sinus Surgery
1. Revision rate: 18-20%
2. Serious complications: 0.2 to 0.6%
3. Relief of symptoms
  1. No predisposing factors: 93% after one surgery
  2. Predisposing factors: 80-85% efficacy
    1. Asthma
    2. Tobacco abuse
  3. Significant comorbid condition: <50% efficacy
    1. Aspirin triad
    2. Immunodeficiency
    3. Cystic Fibrosis
    4. Allergic Fungal Sinusitis
References
1. Anand (1997) Otolaryngol Head Neck Surg 117:S50
2. Osguthorpe (1999) Otolaryngol Head Neck Surg 120:451

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.