Sinusitis means an inflammatory change in the mucosa of a sinus(maxillary ethmoid, sphenoid, frontal, all paranasal sinuses around the nose). Sinus inflammation that persists despite appropriate and adequate medical therapy, and documented recurrent acute sinusitis with identifiable and related abnormalities in the ostiomeatal complex, are considered potential indications for surgical intervention.
The use of endoscopes during surgery of the paranasal sinuses improves visualization, enables greater preservation of normal structures, and reduces the necessity of wide exposure. The most significant advances result from the improved diagnostic ability and understanding of the pathogenesis of sinusitis made possible by the combined use of comprehensive nasal endoscopy and CT.
Careful postoperative care and meticulous cleaning of the cavity are of major importance to the final surgical result. Functional endoscopic techniques with the use of Navigation system offer the possibility for the resolution of medically unresponsive sinus disease, with minimal trauma to the normal structures and reduced morbidity. The key is the accurate diagnosis and safe removal of the underlying causes of sinus disease.
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