Revision Functional Endoscopic Sinus Surgery

Functional endoscopic sinus surgery (FESS) has recently become a popular procedure for treating chronic sinusitis. However, there is a 2% to 24% rate of primary FESS failure. Revision functional endoscopic sinus surgery (RESS) is indicated for patients who remain symptomatic after primary FESS and optimal medical therapy have failed. A retrospective study was conducted on all patients who underwent RESS in our department between April 1988 and March 1998. During this period, FESS was performed 1,227 times to treat chronic sinusitis; among those procedures, 142 were RESS. Complications occurred in 14 RESS procedures (9.9%). After RESS, 65% patients had improved. In this study, we concluded that although RESS is more difficult than primary FESS because of distorted or missing anatomic landmarks, complications did not increase with RESS if meticulous surgical procedures were performed. However, the 65% improvement rate with RESS was lower than that of primary FESS.

[1]  J. D. Osguthorpe.  Surgical causes of failure in endoscopic sinus surgery. , 2000, The Laryngoscope.

[2]  A. Leunig,et al.  [Navigation surgery in diseases of the paranasal sinuses]. , 1999, Laryngo- rhino- otologie.

[3]  J. Atkins,et al.  Revision Endoscopic Sinus Surgery: The Thomas Jefferson University Experience , 1998, Ear, nose, & throat journal.

[4]  D. Kennedy,et al.  Staging for Rhinosinusitis , 1997, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[5]  David S. Parsons,et al.  The missed ostium sequence and the surgical approach to revision functional endoscopic sinus surgery. , 1996, Otolaryngologic clinics of North America.

[6]  D. Caldarelli,et al.  A review of revision functional endoscopic sinus surgery , 1994, The Laryngoscope.

[7]  D. Rice,et al.  Revision Sinus Surgery , 1994, Ear, nose, & throat journal.

[8]  R. Lazar,et al.  Revision Functional Endonasal Sinus Surgery , 1992, Ear, nose, & throat journal.

[9]  R. Bumsted,et al.  Revision endoscopic ethmoidectomy for chronic rhinosinusitis. , 1989, Otolaryngologic clinics of North America.