title: Long-term successes of various sinus surgeries: a comprehensive analysis.
abstract: Outcome studies often examine the efficacy of sinus surgery with 1 year of follow-up data, while longer-term postoperative data is less easily available. This article reviews long-term outcomes of various endoscopic techniques to further delineate risk factors for surgical failure. A systematic review of the literature was performed and studies were stratified based on surgical technique and recognized risk factors of postoperative failure. A total of 126 abstracts were identified, 82 articles were retrieved for full review, and 56 were included in this report. A total of 30 studies had longer than 1 year of follow-up data and the longest follow-up period was 10 years. Based on the available evidence, endoscopic sinus surgery has a high success rate, but with well-recognized risk factors for failure. Aggressive postoperative local care and medical therapy should be tailored to each patient's particular disease process, and form an integral part of surgical management.
authors: Department of Otorhinolaryngology-Head and Neck Surgery, Hospital of the University of Pennsylvania, 5 Silverstein, 3400 Spruce Street, Philadelphia, PA 19104, USA. gregg.goldstein@uphs.upenn.edu
authors: Gregg H
authors: GH
authors: Goldstein
authors: David W
authors: DW
authors: Kennedy
mesh_terms: D002908:Chronic Disease; D004724:Endoscopy; D005500:Follow-Up Studies; D006801:Humans; D010256:Paranasal Sinuses / Q000601:surgery; D012220:Rhinitis / Q000601:surgery*; D012852:Sinusitis / Q000601:surgery*; D016896:Treatment Outcome