Recurrence of Chronic Sinusitis after Endoscopic Sinus Surgery

Lee, Kyung Chul; Lee, Yong Bae

doi:10.35420/jcohns.1998.9.1.67

J Clin Otolaryngol Head Neck Surg 1998; 9(1):67-71

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1998.9.1.67

원저

만성부비동염의 내시경 수술후 재발

이경철¹, 이용배¹

Recurrence of Chronic Sinusitis after Endoscopic Sinus Surgery

Kyung Chul Lee¹, Yong Bae Lee¹

Author Information & Copyright ▼

¹성균관대학교 의과대학 강북삼성병원 이비인후과

¹Department of Otolaryngology, Kangbuk Samsung Hospital, College of medicine, Sungkyunkwan University, Seoul, Korea

© Copyright 1998 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Endoscopic sinus surgery is a relatively new surgical procedure that was introduced in the late 1970's. But for some patients, functional endoscopic sinus surgery fails to relieve persistent chronic sinusitis. The objective of this study is to evaluate the recurrence rate of patients with chronic sinusitis who was underwent endoscopic sinus surgery and to define characteristics of patients requiring revision endoscopic sinus surgery.

After analyzing the charts of 405 patients, we reviewed the 83 cases of revision surgery performed between 1991 and 1994. In this study, we divided these patients into two groups ; chronic sinusitis without nasal polyp (group I) and with nasal polyp(group II). Recurrence rate was 15% in group I and 27% in group II. Most common complaint was nasal obstruction and most common involved sinus was maxillary sinus in both groups.

We suggest that continuous and careful postoperative care will be needed to prevent recurrence of chronic sinusitis, especially with nasal polyp.

Keywords: Chronic sinusitis; Recurrence; Endoscopic sinus surgery