Abstract
The purpose of endoscopic sinus surgery is to reestablish ventilation and mucocilialy clearance of the sinuses. This final target is commonly believed to beachieved primarily by endoscopic surgery removing the lesion located in the key areas of anterior ethomoid and middle meatus. We confirm this theory by comparison between the two group of postoperative pansinusitis patients. One group (n= 10) of patients were operated on by removing only minimal lesion in OMC (ostiomeatal complex). The other group of patients (n =10) were operated by a more expansive resection including OMC, posterior ethmoid, and sphenoid sinus. Consequently relating to subjective symptoms and objective local findings, there proved to be no satistically significant difference between the two groups.
Postoperatively, almost half of all these patients revealed localized undesirable change such as meatus stenosis or adhesion, polypoid degeneration and so on. Ambulatory observation and care for local lesion shoud be as equally of great value as medication.
