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JEANNE ADAMS, MD
Durham, NC

Arch Otolaryngol Head Neck Surg. 1988;114(10):1087.

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

At the recent meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Palm Beach, Fla, Dr Paul Toffel and coworkers, Los Angeles, presented their technique for secure endoscopic sinus surgery and reviewed 170 consecutive cases. The technique uses a combination of traditional macroscopic and endoscopic (microscopic) methods. A fiberoptic headlight (macroscopic view) allows the operating surgeon to check for positioning and to maintain perspective. A sinus endoscope (microscopic view) allows for precise visualization and removal of diseased tissue. Using both types of viewing, the procedure consists of an ethmoidectomy followed by enlargement of the natural ostium of the maxillary sinus and finishing with a partial middle turbinectomy. In most of their cases, septoplasty and inferior turbinate reduction were also performed by standard techniques.

At six and 12 months, all patients had substantial relief of nasal obstructive symptoms and posterior nasal discharge, and all patients reported marked improvement . . . [Full Text PDF of this Article]

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