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Long-term Results of Functional Endoscopic Sinus Surgery

Authors

  • Brent A. Senior MD,

    Corresponding author
    1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
    Current affiliation:
    1. Dr. Senior is currently with the Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health Systems, Detroit, Michigan.
    • Brent A. Senior, MD, Senior Staff, Henry Ford Health System, Department of Otolaryngology-Head and Neck Surgery, 6777 West Maple Road, West Bloomfield, MI 48322, U.S.A.
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  • David W. Kennedy MD,

    1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
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  • Jirayu Tanabodee MD,

    1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
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  • Hans Kroger MPH,

    1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
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  • Mohammed Hassab MD,

    1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
    Current affiliation:
    1. Dr. Hassab is currently with the Department of Otolaryngology, Alexandria University, Alexandria, Egypt.
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  • Donald Lanza MD

    1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania.
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  • Presented at the Meeting of the Eastern Section of the American Laryngological, Rhinological and Otological Society, Inc., Boston, Massachusetts, February 2, 1997.

Abstract

Although much has been reported on the short-term outcomes of functional endoscopic sinus surgery (FESS), little has been reported with regard to its long-term impact on chronic sinusitis. The senior author (D.W.K.) previously reported detailed subjective and endoscopic follow-up on 120 patients at a mean of 18 months following surgery. This current study represents a long-term follow-up (average, 7.8 years) of 72 patients (60%) from the same cohort. Of patients responding to a question about overall symptoms, 98.4% (n = 66) reported improvement compared with before surgery. There was a trend toward continued subjective improvement in symptom scores with longer follow-up, but the changes did not reach statistical significance. Thirteen patients (18%) required subsequent surgical procedures. Preoperative stage, prior surgery, and other factors that might affect outcome were evaluated. The study demonstrates that excellent subjective results following FESS can be maintained in the long term with appropriate postoperative management. The study also validates the concept that patients in whom the cavity can be normalized following surgery are unlikely to require further surgery

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