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Microbiology and antibiotic resistance of chronic rhinosinusitisin patients undergoing primary vs. revision endoscopic sinus surgery
Author(s) -
Rickert Scott M.,
Rachakonda Tara,
Hiltzik David H.,
Kacker Ashutosh
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21710
Subject(s) - otorhinolaryngology , medicine , head and neck surgery , functional endoscopic sinus surgery , general surgery , head and neck , university hospital , surgery , sinusitis
Chronic Rhinosinusitis (CRS) is an inflammatory process associated with several different pathogenic aerobic and anaerobic organisms. The microbiology of CRS has been studied extensively. As a result, probability guided antibiotics have been used. Endoscopic cultures of the middle meatus and sinuses have assisted in directing the choice of antibiotics and overall treatment. Reports of cultured organisms in medically treated patients as well those treated surgically by functional endoscopic sinus surgery (FESS) have demonstrated differences in the isolates. (1-6) Many patients that undergo FESS, however, often have recurrent and persistent CRS that requires additional surgical intervention after appropriate medical treatment. Studying the endoscopically guided cultures intraoperatively may demonstrate those microorganisms that persist in the nasal cavity and sinuses despite aggressive treatment. In this article, we describe the microbiology of patients undergoing primary FESS and those requiring revision FESS.