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Chronic sinusitis: A surgical perspective

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Abstract:

Rhinosinusitis is one of the most common chronic diseases with significant symptoms and impact on the quality of life. Surgery is indicated when appropriate medical treatment fails. A review of the clinical presentations of rhinosinusitis is presented, as well as an overview of current medical and surgical treatment options. Although external approaches are still mandated in some selected instances, endoscopic sinus surgery has become the standard for surgical treatment of sinonasal pathologies, by aiming at restoring the physiological functions of the nasal and paranasal cavities. This technique presents numerous advantages with a minimally invasive approach, better visualization of structures, camera magnification of the surgical field, and allows thorough exploration of difficult-to-reach areas. The risks and complications of endoscopic sinus surgery are well identified and may be reduced significantly by the adjunct use of computer-assisted image guidance and intraoperative fluoroscopy. Surgical simulation also is a promising tool to help reduce surgical errors and improve surgeon training in the future.

Document Type: Research Article

Publication date: January 1, 2006

More about this publication?
  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

    The goal of the Proceedings is to publish articles with a predominantly clinical focus which directly impact quality of care for patients with allergic disease and asthma.

    Featured topics include asthma, rhinitis, sinusitis, food allergies, allergic skin diseases, diagnostic techniques, allergens, and treatment modalities. Published material includes peer-reviewed original research, clinical trials and review articles.

    Articles marked "F" offer free full text for personal noncommercial use only.

    The journal is indexed in Thomson Reuters Web of Science and Science Citation Index Expanded, plus the National Library of Medicine's PubMed service.
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