28. Endoscopic sinus surgery, extended applications.

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Last updated 2:16 PM on 6/6/26
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6 Terms

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What is endoscopic sinus surgery

  • procedure to remove blockages and treat other problems in the sinuses using an endoscope

  • thin, rigid tube with a camera and a light

  • FESS- functional endoscopic sinus surgery

    • aim to restore ventilation of the paranasal sinuses with widening the ostia and preserve the function

<ul><li><p>procedure to remove blockages and treat other problems in the sinuses using an endoscope</p></li><li><p>thin, rigid tube with a camera and a light</p></li><li><p><strong>FESS- functional endoscopic sinus surgery</strong></p><ul><li><p>aim to restore ventilation of the paranasal sinuses with widening the ostia and preserve the function</p></li></ul></li></ul><p></p>
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What is the indication of FESS

  • Chronic sinusitis, acute sinusitis complications, correction of septum deviation, choanal atresia

  • Diffuse polyposis with eosinophil dominance

  • Mucocele, Pyocele, paranasal mycosis, small osteomas, optic nerve decompression

  • Closure of CSF fistula/meningoencephalocele

  • Tumors; juvenile nasopharyngeal angiofibroma, pituitary tumors, tumors of cranial base

  • Removal of foreign bodies

3
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What is the surgical techniques of endoscopy

  • Messerklinger technique- anterio-posterior approach

  • Wigand technique- postero-anterior approach

4
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What are the advantages of endoscopic surgery

  • decreased infection risk, trauma, healing time

  • aesthetically better

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What are the disadvantages of endoscopic surgery

  • expensive

  • scope needs to be regularly cleaned

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What are the complications of endoscopic surgery

Injury of the:

  • Anterior and posterior ethmoidal artery

  • Internal carotid artery

  • Optic nerve, olfactory nerve: anosmia, diplopia, synechia’s

  • Orbit and orbit content: retrobulbar/periorbital/orbital hematoma

  • Dura, frontal skull base, endocranium: liquor, fistula, intracranial complications

  • Nasolacrimal duct