Endoscopic Sinus Surgery

  • David W. Kennedy

Before 1985, sinus surgery was typically performed through open surgical approaches. At that time, the maxillary sinus was thought to be the most frequent site of sinus disease and the frontal sinus was considered to be the second most common site. When sinus disease within the maxillary sinus persisted despite medical therapy, one of the concepts was to provide dependent drainage to the sinus through an inferior meatal window, an opening created close to the floor of the sinus. If dependent drainage failed, the concept was then to strip the diseased mucosa from the sinus. Sinus surgery was frequently fraught with failure, and patients often ended up with increasing discomfort, persistent infection, and frequently repeated surgical interventions [1,2].

However, since that time, the results of surgical intervention have significantly improved, as has our understanding of sinusitis and its pathogenesis. In part, this occurred because as improved endoscopes were introduced, physicians...


Maxillary Sinus Sphenoid Sinus Frontal Sinus Chronic Rhinosinusitis Endoscopic Sinus Surgery 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology – Head and Neck SurgeryUniversity of Pennsylvania Medical CenterPhiladelphiaUSA

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