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Secure Endoscopic Sinus Surgery as an Adjunct to Functional Nasal Surgery
Paul H. Toffel, MD;
David J. Aroesty, MD;
Robert H. Weinmann, IV
Arch Otolaryngol Head Neck Surg. 1989;115(7):822-825.
Abstract
• The efficacy of functional endoscopic sinus surgery for the treatment of chronic sinusitis is well established. Two contrasting European techniques are currently in use: that espoused by Wigand, which includes endoscopic exenteration of all the sinus cavities with removal of the middle turbinates, and that developed by Messerklinger, who practices minimal opening of the narrow osteomeatal tract at the anterior ethmoidal sinus to achieve physiological reversal of sinus disease. After exposure to both techniques, one of us (P.H.T.) developed a middle-ground approach that lies between the extremes of the two European schools. The benefits of this middle-ground technique include a high success rate, maximal safety, relative ease of learning, and its ability to be performed as an adjunct to any other indicated functional nasal surgery.
(Arch Otolaryngol Head Neck Surg. 1989;115:822-825)
Author Affiliations
From the Department of Otolaryngology–Head and Neck Surgery, University of Southern California School of Medicine, Los Angeles.
Footnotes
Accepted for publication January 10, 1989.
Presented at the annual spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, April 28, 1988.
Reprint requests to 2080 Century Park East, Suite 610, Los Angeles, CA 90067 (Dr Toffel).
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