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Technical reasons for endoscopic sinus surgery failures

2002; Lippincott Williams & Wilkins; Volume: 10; Issue: 1 Linguagem: Inglês

10.1097/00020840-200202000-00009

1531-6998

James M. Chow,

Medical Malpractice and Liability Issues

Endoscopic sinus surgery has become the most commonly performed procedure for the treatment of chronic rhinosinusitis. Consistent parameters have not been set, however, to determine what defines a failure following endoscopic sinus surgery. Compounding this problem has been the finding that no correlation exists between subjective postoperative improvement and preoperative computed tomographic stage or endoscopic findings at follow-up. Failures seen following endoscopic sinus surgery can be subdivided into physiologic causes such as patients with recurrent polyps or ciliary dyskinesia and technical causes such as patients with significant adhesions, diseased residual ethmoid cells, maxillary sinus ostia stenosis, or a missed natural maxillary sinus ostia. This article reviews some of the recent publications on causes of failures seen in endoscopic sinus surgery.