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Practical Medical and Surgical Management of Chronic Rhinosinusitis pp 161–176Cite as

Management of Functional Endoscopic Sinus Surgery (FESS) Failures

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Abstract

A portion of patients with chronic rhinosinusitis will present with disease which does not respond to either maximal medical or surgical therapy. Otherwise known as recalcitrant chronic rhinosinusitis, this presents a particularly frustrating and difficult challenge to physicians and patients alike. When faced with recalcitrant disease, it is important to take a multifaceted approach. In patients who have had previous surgery, evaluation of the sinonasal cavities for certain anatomic factors which contribute to management failure is necessary. Previously undiagnosed medical conditions complicating the disease process must also be considered. Finally, the type and delivery of topical therapies must be reviewed with all available options considered. The following is a review of recalcitrant chronic rhinosinusitis with a focus on further workup and management of these patients.

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Author information

Authors and Affiliations

  1. Section of Rhinology, Sinus and Skull Base Surgery, Head and Neck Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, A71, Cleveland, OH, 44195, USA

    Ashleigh A. Halderman MD, Janalee Stokken MD & Raj Sindwani MD

Authors
  1. Ashleigh A. Halderman MD
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  2. Janalee Stokken MD
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  3. Raj Sindwani MD
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Corresponding author

Correspondence to Raj Sindwani MD .

Editor information

Editors and Affiliations

  1. Department of Otorhinolaryngology Head and Neck Surgery, Rush Center for Skull Base and Pituitary Surgery, Rush University Medical Center, Chicago, Illinois, USA

    Pete S. Batra

  2. Department of Otolaryngology and Head & Neck Surgery, Eastern Virginia Medical School, Norfolk, Virginia, USA

    Joseph K. Han

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© 2015 Springer International Publishing Switzerland

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Halderman, A.A., Stokken, J., Sindwani, R. (2015). Management of Functional Endoscopic Sinus Surgery (FESS) Failures. In: Batra, P., Han, J. (eds) Practical Medical and Surgical Management of Chronic Rhinosinusitis. Springer, Cham. https://doi.org/10.1007/978-3-319-16724-4_8

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  • DOI: https://doi.org/10.1007/978-3-319-16724-4_8

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16723-7

  • Online ISBN: 978-3-319-16724-4

  • eBook Packages: MedicineMedicine (R0)

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