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Comments About Postoperative Care After Endoscopic Sinus Surgery
Arch Otolaryngol Head Neck Surg. 2002;128:1207-1208.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Dr Erica Thaler's article reviewing postoperative care after ESS is
a well-done review. Her conclusion that each patient be individualized after
1 or 2 initial postoperative visits is appropriate. Specific comments based
on long-term experience with ESS are offered.
The background information offered by Dr Thaler nicely summarizes the
functional philosophy of ESS. There is no question that doing less surgery
and preserving mucosa leads to better, faster healing and less need for postoperative
care. However, in cases with remarkable disease and extensive surgery, postoperative
debridement is more important to aid healing. Again, timing is up to each
practitioner and dependent on how healing is progressing. It is impressive
how each individual patient heals. Some patients require no postoperative
debridement and others, multiple. The usual number necessary is 2 or 3. Factors
involved in healing that help determine the need for postoperative care are
extent of disease, preservation of the . . . [Full Text of this Article]
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