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Surgical Causes of Failure in Endoscopic Sinus Surgery
Author(s) -
Ramadan Hassan H.
Publication year - 1999
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 - 10.1097/00005537-199901000-00006
Subject(s) - medicine , ostium , stenosis , surgery , sinus (botany) , maxillary sinus , sinusitis , functional endoscopic sinus surgery , endoscopic sinus surgery , ethmoidectomy , frontal sinus , radiology , botany , biology , genus
Objectives : Evaluate causes of surgical failure at time of revision endoscopic sinus surgery. Study Design : Prospective review of 682 cases that had endoscopic sinus surgery performed between 1991 and 1995. Methods : In all cases, variables of age, sex, asthma, allergy, computed tomography stage, associated procedures, complications, and operative findings were collected. Those cases that had a failure after a previous endoscopic sinus procedure and not an intranasal procedure or an external procedure were evaluated. Results : Fifty‐two patients (7.6%) were identified. The age range was 24 to 70 years. The most common cause of failure was residual air cells and adhesions in the ethmoid area (30.7%), followed by maxillary sinus ostium stenosis in 27%, frontal sinus ostium stenosis in 25%, and a separate maxillary sinus ostium stenosis in 15% of the cases. Conclusion : Review of surgical causes of failure in endoscopic sinus surgery patients revealed that residual air cells and stenotic maxillary or frontal sinus ostium were the most common causes of failures.