A Review of the Different Intraoperative Findings of Revision Endoscopic Frontal Surgery

A revision endoscopic sinus surgery (rESS) is considered when the primary surgery fails to improve the symptoms or causes problems. The rESS is still a difficult surgical procedure, despite the use of imaging-guided surgical navigation systems, because the anatomical landmarks are removed or scarred...

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Bibliographic Details
Published in:Indian journal of otolaryngology, and head, and neck surgery and head, and neck surgery, 2022-10, Vol.74 (Suppl 2), p.1157-1162
Main Authors: Al-Abdulwahid, Fatmah A., Almomen, Ali, Alshakhs, Abdullah, Al Yaeesh, Ibrahim, AlOmairin, Ahmed, Al Yahya, Abdulwahab, Al Suqair, Hesham, Al Omayrin, Fatima, Al Ghwainem, Norah, AlHussain, Razan
Format: Article
Language:English
Subjects:
Endoscopy
Head and Neck Surgery
Medicine
Medicine & Public Health
Navigation systems
Original
Original Article
Otorhinolaryngology
Rhinitis
Sinusitis
Surgery
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Summary:A revision endoscopic sinus surgery (rESS) is considered when the primary surgery fails to improve the symptoms or causes problems. The rESS is still a difficult surgical procedure, despite the use of imaging-guided surgical navigation systems, because the anatomical landmarks are removed or scarred. To determine the causes and indications of rESS observed radiologically or endoscopically in patients with frontal rhinosinusitis. This retrospective clinical study was conducted between 2010 and 2019 in the Ear, Nose, and Throat Department of King Fahad Specialist Hospital, Saudi Arabia. Sixty cases were indicated for revision endoscopic surgery, and all had distorted or lost anatomical landmarks. Most landmark losses were caused by undissected uncinate processes and residual agger nasi with/without ethmoid disease. The rESS surgical procedure remains difficult, despite the use of imaging-guided surgical navigation systems, because most of the anatomical landmarks are removed or scarred. An undissected uncinate process, residual agger nasi with/without ethmoid disease, extensive mucosal disease with polyps obstructing the frontal recess, and lateralized middle turbinates are the most common conditions requiring rESS.
ISSN:2231-3796
0973-7707
DOI:10.1007/s12070-020-02196-y