Artikel
Anatomical Findings in Revision Endonasal Surgery
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Autoren
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Petr Schalek
- ENT Clinic of the 3rd Medical Faculty and Faculty, Prague, Czech Republic
| Veröffentlicht: | 24. April 2006 |
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Gliederung
Text
Functional endonasal surgery (FES) represents an effective method in the treatment of chronic rhinosinusitis and nasal polyposis. The succes rate of FES is reported as 76-98% in the literature. The revision FES is necessary in 10-18% of primary surgical procedures. In presented paper are evaluated anatomic findings in 28 patients which had undergone revision FES. These findings were compared with accessible documentation about previous operations. The most frequent finding was incomplet anterior ethmoidectomy in 57,1% followed by incomplet posterior ethmoidectomy and lateralization of middle turbinate (both in 28,5%). In one fourth of patients failure of frontonasal connection was observed. In 21,4% were presented remnant of uncinate process and middle meatal antrostomy stenosis. Almost one half of patiens had a reccurence of nasal polyposis. Less frequent findings were residual Haller’s cells and concha bullosa.
During revision FES procedures one complication occured- hematoma of eyelids which has resorbed without any sequelas.
The technique of primary endonasal surgical procedure is important factor which also determinates efficacy of treatment. Non-radical procedure giving rise to areas with poor ventilation and drainage, especially in ethmoid cells, resulting in risk of persistent or recurrent inflammation and can lead to development of mucocele.
Key words: revision endonasal surgery, chronic rhinosinusitis, nasal polyposis, mucocele
