Abstract
Abstract
Background
Outcomes for revision endoscopic sinus surgery (RESS) are rarely reported in relation to technique. Our goal was to document the outcome of full‐house functional endoscopic sinus surgery (FESS) (FHF) (complete sphenoethmoidectomy with Draf IIA frontal sinusotomy) for treatment of this recalcitrant group.
Methods
Twenty‐one patients with chronic sinusitis having had at least 1 previous sinus surgery (mean, 2.14) underwent FHF, followed by postoperative nasal douching and oral antibiotics for 12 weeks. After a minimum 6 months of follow‐up, patients were asked to complete a 5‐item Patient Response Score (PRS) (graded on a 6‐point scale from 1 = completely improved to 6 = much worse). Objective measures collected included computed tomography (CT) Lund MacKay score (L‐M score, LMS), and endoscopic findings: mucosal swelling (MS) and mucopus (MP) (graded on a 4‐point scale from 0 = none to 3 = severe).
Results
Patients were divided into 3 subgroups based on months of follow up from surgery: 6‐12, 12‐18, and 18‐24. There was no statistical difference in any outcome based on length of follow up. Mean symptom outcome was reported as much improved (PRS = 1.9 ± 0.1). Both mucosal swelling and mucopus improved dramatically (2.48 vs 0.29,
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Conclusion
Marked improvements in symptoms and mucosal findings were consistently obtained with FHF between 6 and 24 months postoperatively. © 2011 ARS‐AAOA, LLC.