Post-operative evaluation of functional endoscopic sinus surgery with computed tomography.
Fifty consecutive patients underwent functional endoscopic sinus surgery (FES) for bilateral rhinosinusitis. Pre- and post-operative computerized tomographic scans were evaluated. Of 50 patients, 45 (90%) experienced improvement in symptoms. Post-operative scans gave less encouraging results, with a slightly improved score for the combined group of sinuses and for the ethmoidal and maxillary sinuses separately. The difference between the pre- and post-operative CT score for the ethmoidal sinuses was statistically significant. The frontal sinus showed similar pre- and post-operative radiological findings. For the inexperienced surgeon we recommend computer tomographic examination 4-6 months after surgery. This could prove helpful if recurrence of symptoms occurs. For the experienced surgeon, clinical and endoscopic follow-up for at least 3 years is appropriate.
Franzén
G
G
Department of Otolaryngology, University Hospital, Trondheim, Norway.
Klausen
O G
OG
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002908:Chronic Disease; D004724:Endoscopy; D005004:Ethmoid Bone / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009298:Nasal Polyps / Q000473:pathology / Q000601:surgery*; D010256:Paranasal Sinuses / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D012852:Sinusitis / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed