eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Nasal & Sinus Diseases

Functional Endoscopic Sinus Surgery: Follow-up

Author: Ankit Patel, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, St Joseph Medical Center, Silver Cross Hospital
Contributor Information and Disclosures

Updated: Mar 6, 2008

Outcome and Prognosis

Outstanding short- and long-term results have been reported. In one study, symptoms improved in 66 of 72 patients following endoscopic sinus surgery, with a mean follow-up time of 7.8 years.1 In another report, quality of life improved for 85% of the patient population, with a mean follow-up time of 31.7 months.2

Future and Controversies

The realm of endoscopic surgery is continually being expanded. Procedures that were traditionally performed using external incisions are now being performed endoscopically. In some clinical settings, inverting papilloma excisions and skull base tumors are being approached endoscopically. Early results with these procedures are promising. Further study is required to delineate the role of endoscopic surgery in those areas.

Additionally, balloon catheter technology has been used to dilate the maxillary, frontal, and sphenoid natural ostia without bone or soft tissue removal.  Early reports show persistent patient symptom improvement and sinus ostia patency.  Further study and long-term outcomes with this technology will determine its role in endoscopic sinus surgery.3

 
Acknowledgments

The authors and editors of eMedicine gratefully acknowledge the contributions of the previous authors, A John Vartanian, MD and Louis de Guzman Portugal, MD, FACS, to the development and writing of this article.



More on Functional Endoscopic Sinus Surgery

Overview: Functional Endoscopic Sinus Surgery
Workup: Functional Endoscopic Sinus Surgery
Treatment: Functional Endoscopic Sinus Surgery
Follow-up: Functional Endoscopic Sinus Surgery
References
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Further Reading

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Keywords

functional endoscopic sinus surgery, FESS, chronic sinusitis, recurrent sinusitis, sinus infection, rhinosinusitis, chronic rhinosinusitis, rhinology, CSF leak, CSF rhinorrhea, inverted papilloma, orbital decompression, endoscopic DCR, optic nerve decompression, traumatic indirect optic neuropathy, sinus surgery

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Contributor Information and Disclosures

Author

Ankit Patel, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, St Joseph Medical Center, Silver Cross Hospital
Ankit Patel, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery and American Rhinologic Society
Disclosure: a Salary Employment

Medical Editor

Lanny Garth Close, MD, Chair, Professor, Department of Otolaryngology-Head and Neck Surgery, Columbia University College of Physicians and Surgeons
Lanny Garth Close, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physicians, American Laryngological Association, American Society for Head and Neck Surgery, and New York Academy of Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Stephen G Batuello, MD, Consulting Staff, Colorado ENT Specialists
Stephen G Batuello, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, American Medical Association, and Colorado Medical Society
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Advanced Headache Intervention Consulting fee Consulting; Covidien Corp Consulting fee Consulting

 
 
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