Type of Surgery
Information
Last updated: 11/24/2009
BOOKS
Bhatt, N. J. Endoscopic Sinus Surgery: New Horizons. Independence, KY: Singular Publishing Group, 1997.
Bhatt, N. J. The Frontal Sinus: Advanced Surgical Techniques. Independence, KY: Singular Publishing...
Group, 2002.
Marks, S. C., and W. A. Loechel. Nasal and Sinus Surgery. Philadelphia: W. B. Saunders Co., 2000.
PERIODICALS
Engelke, W., W. Schwarzwaller, A. Behnsen, and H. G. Jacobs. "Subantroscopic laterobasal sinus floor augmentation (SALSA): an up-to-5-year clinical study."International Journal of Oral and Maxillofacial Implants 18 (January-February 2003): 135–143.
Graham, S. M., and K. D. Carter. "Major complications of endoscopic sinus surgery: a comment."British Journal of Ophthalmology 87 (March 2003): 374–377.
Larsen, A. S., C. Buchwald, and S. Vesterhauge. "Sinus baro trauma—late diagnosis and treatment with computeraided endoscopic surgery."Aviation & Space Environmental Mediciine 74 (February 2003): 180–183.
Ramadan, H. H. "Relation of age to outcome after endoscopic sinus surgery in children."Archives of Otolaryngology & Head and Neck Surgery 129 (February 2003): 175–177.
Wormald, P. J. "Salvage frontal sinus surgery: the endoscopic modified Lothrop procedure."Laryngoscope 113 (February 2003): 276–283.
ORGANIZATIONS
American Academy of Otolaryngology-Head and Neck Surgery. One Prince St., Alexandria, VA 22314-3357. (703) 836-4444.
Association for Research in Otolaryngology. 19 Mantua Rd., Mt. Royal, NJ 08061. (856) 423-0041. (301) 733-3640.
North American Society for Head and Neck Pathology. Department of Pathology, H179, P.O. Box 850, Milton S. Hershey Medical Center, Penn State University School of Medicine, Hershey, PA 17033. (717) 531-8246.
OTHER
"Factsheet: Sinus Surgery." American Academy of Otolaryn gology—Head and Neck Surgery [cited May 5, 2003].
Slack, R. and G. Bates. "Sinus Surgery."American FamilyPhysician. 1 September 1998 [cited May 5, 2003].
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During endoscopic sinus surgery, a doctor uses an endoscope to view the inner cavities of the nose (A and B). Using special instruments, the doctor opens the sinuses to alleviate problems with sinusitis (C and D). (Illustration by GGS Inc.)
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Other Information
Functional endoscopic sinus surgery (FESS) is a minimally invasive surgical procedure that opens up sinus air cells and sinus ostia (openings) with an endoscope.
The use of FESS as a sinus surgical method has now become widely accepted; and the term "functional" is meant to distinguish this type of endoscopic surgery from nonendoscopic, more conventional sinus surgery procedures.
Purpose
The purpose of FESS is to restore normal drainage of the sinuses. Normal function of the sinuses requires ventilation through the ostia (mouth-like opening) and is facilitated by a mucociliary transport process that maintains a constant flow of mucus out of the sinuses. All sinuses need ventilation to prevent infection and inflammation, a condition known as sinusitis. In healthy individuals, sinus ventilation occurs through the ostia into the nose. The sinuses open into the middle meatus (curved passage in each nasal cavity) under the middle turbinate (thin, bony process that is the lower portion of the ethmoid bone in each nasal cavity), which together are known as the osteomeatal complex, the key area of the nose. The hair-like cilia direct the flow of mucus toward the ostia.
Other Information
The development of the operative plan for a type of complex procedure requires weeks of planning and extensive study of the recipient patient’s clinical exam, radiological studies, and prior operative history.
-Dr. Daniel Alam
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