Journal of Rhinology 2013;20(1):37-40.
Published online May 31, 2013.
A Clinical Analysis of Revision Endoscopic Sinus Surgery: Single-Center 10-Year Experience
Boo Young Kim, Min Kim, Jung Mee Park, Hyun Bum Kim, Sung Won Kim, Byung Guk Kim, Jin Hee Cho, YongJin Park, Soo Whan Kim
Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea, College of Medicine, Seoul, Korea.
Background and Objectives
Endoscopic sinus surgery (ESS) has become a popular procedure for treating chronic sinusitis. Despite recent developments in medical and surgical techniques, primary ESS can still fail. Although revision ESS is one solution to the problem of recurrent sinusitis, revision surgery is stressful for patients and otolaryngologists. Therefore, we examined the causes of ESS failure and sought to find ways to prevent the failure of primary ESS.
All patients who underwent revision ESS in our department between April 2003 and March 2012 were studied retrospectively.
During this period, revision ESS was performed 40 times to treat chronic sinusitis. We analyzed the preoperative computed tomographic (CT) findings of primary and revision ESS cases using the Lund-Mackay and Kennedy CT staging scores to compare disease severity. In our cases, the failure of ESS was not affected by the extent of disease, asthma, or allergy. Polyposis was the only useful predictor of revision ESS.
Polyposis is an important predictor of revision ESS. We recommend that patients be followed frequently and carefully, especially those with polyps.
Key Words: Revision Endoscopic Sinus Surgery;Nasal Polyps;Asthma

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