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

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

The article by Dr Thaler emphasizes part of the perioperative management of an often difficult group of patients. In the preoperative period, the surgeon and patient exchange information so that informed consent and alignment of expectations occur. All ESS procedures are assumed to be anatomically perfect, but in reality there are often aspects in which one area or another is in doubt. The ability to check the frontal sinus opening or an area in the lateral posterior ethmoid is important in many patients, especially those in whom nuisance bleeding may have been more than usual.

Figure appears in full text version. William J. Richtsmeier, MD, PhD

I agree with Dr Thaler that the wound may be left alone in the early postoperative period. This has been emphasized by the introduction of hyaluronic acid polymer packing, which takes 2 weeks to digest and is more easily removed later than earlier. This packing seems to minimize the need . . . [Full Text of this Article]

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