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Arch Otolaryngol Head Neck Surg. 2002;128:1204-1206.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Hypothesis: The best outcome after endoscopic sphenoethmoidectomy follows frequent in-office endoscopic debridement of all crusts and old blood until healing is complete.

BACKGROUND

Endoscopic sinus surgery (ESS) has become the standard of care in the surgical management of chronic sinusitis over the last 2 decades. This has been due, in large part, to the careful introduction of its technique to otolaryngology by such pioneers as Messerklinger, Stammberger, Kennedy, and others. Traditional surgical approaches were devised around the concept of removing irreversibly diseased mucosa. In recent years, there has been recognition that denuded bone results in delayed healing.¹.

Figure appears in full text version. Erica R. Thaler, MD

Instead, endoscopic technique emphasizes fidelity to the "function" of the sinuses, with preservation of as much of the native anatomy and mucosa as possible. As part of this, minimization of scar formation is deemed critical to retain normal ciliary function and thereby reestablish normal mucociliary clearance. A great deal . . . [Full Text of this Article]

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