Current Allergy and Asthma Reports

, Volume 13, Issue 2, pp 244–249 | Cite as

Long-Term Successes of Various Sinus Surgeries: A Comprehensive Analysis

SINUSITIS (ML KOWALSKI, SECTION EDITOR)
First Online:

Abstract

Outcome studies often examine the efficacy of sinus surgery with 1 year of follow-up data, while longer-term postoperative data is less easily available. This article reviews long-term outcomes of various endoscopic techniques to further delineate risk factors for surgical failure. A systematic review of the literature was performed and studies were stratified based on surgical technique and recognized risk factors of postoperative failure. A total of 126 abstracts were identified, 82 articles were retrieved for full review, and 56 were included in this report. A total of 30 studies had longer than 1 year of follow-up data and the longest follow-up period was 10 years. Based on the available evidence, endoscopic sinus surgery has a high success rate, but with well-recognized risk factors for failure. Aggressive postoperative local care and medical therapy should be tailored to each patient’s particular disease process, and form an integral part of surgical management.

Keywords

Chronic rhinosinusitis Functional endoscopic sinus surgery Balloon sinus dilatation Hybrid procedure Mucociliary clearance Quality of life Rhinosinusitis disability index Chronic sinusitis survey Visual analog score Sinonasal outcome test Samter’s triad Polyposis Debridement Success Long-term success Sinus surgery 
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Notes

Disclosure

No potential conflicts of interest relevant to this article were reported.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology—Head and Neck SurgeryHospital of the University of PennsylvaniaPhiladelphiaUSA
  2. 2.Perelman School of Medicine, Department of Otorhinolaryngology—Head and Neck SurgeryHospital of the University of PennsylvaniaPhiladelphiaUSA

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