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RESEARCH PRODUCT

Endonasal Sinus Surgery: Extended versus Limited Approach

Wolf J. MannRonald G. AmedeeMatthias KuehnemundAndrej Lopatin

subject

medicine.medical_specialtySurgical approachChronic rhinosinusitisbusiness.industryTreatment outcomeSinus surgerySurgery03 medical and health sciences0302 clinical medicineChronic diseaseOtorhinolaryngologyMulticenter study030220 oncology & carcinogenesisPostoperative resultsmedicineIn patient030223 otorhinolaryngologybusiness

description

Background This study was designed to investigate whether two different surgical approaches in endonasal sinus surgery lead to different postoperative results in patients with chronic rhinosinusitis. Methods Sixty-five patients suffering from chronic rhinosinusitis were operated on with either a limited approach or an extended approach. They were examined preoperatively and reassessed during 3 months, 6 months, and long-term follow-up visits that included endoscopy, saccharin transport time, and the assessment of symptoms. Results The concept of this study was prospective, randomized, and multicenter (Mainz, Germany, and Moscow, Russia). The results of the two different surgical approaches were compared with each other. Conclusion Surgical results and symptomatology were similar in both groups of patients, suggesting that a conservative approach may be sufficient in most patients.

https://doi.org/10.1177/194589240201600402