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Purpose: Chronic rhinosinusitis (CRS) is a common, persistent inflammatory condition of the paranasal sinuses that significantly diminishes patients' quality of life. Although medical therapy remains the initial treatment of choice, surgical intervention is frequently required for individuals who do not respond adequately to conservative management. This review aims to provide a comprehensive overview of surgical treatments for CRS, highlighting contemporary practices, indications, clinical efficacy, and outcomes.

Current Concepts: Endoscopic sinus surgery (ESS) has become the standard surgical procedure for CRS, focusing on the removal of pathological lesions and the restoration of normal sinus drainage and ventilation. Recent advances in endoscopic techniques have improved both the precision and safety of ESS. A thorough understanding of sinonasal anatomy, together with meticulous preoperative planning, is essential to minimize complications and ensure successful outcomes. Postoperative care, including nasal irrigation and topical corticosteroids, plays a critical role in promoting mucosal healing and preventing disease recurrence.

Discussion and Conclusion: Surgical treatment for CRS continues to evolve, providing significant symptom relief for patients who are unresponsive to medical therapy. Optimal outcomes depend on individualized surgical planning that takes into account symptom severity, radiologic findings, and patient comorbidities. As our understanding of CRS shifts toward recognizing it as an immune-mediated disease, rather than a purely infectious or obstructive process, the role of surgery has changed accordingly. Ongoing research into minimally invasive techniques, long-term outcomes, and adjunctive therapies is likely to further refine future treatment strategies. A multidisciplinary approach remains vital for improving the overall management of CRS.

Purpose: Chronic rhinosinusitis (CRS) is a common, persistent inflammatory condition of the paranasal sinuses that significantly diminishes patients' quality of life. Although medical therapy remains the initial treatment of choice, surgical intervention is frequently required for individuals who do not respond adequately to conservative management. This review aims to provide a comprehensive overview of surgical treatments for CRS, highlighting contemporary practices, indications, clinical efficacy, and outcomes.

Current Concepts: Endoscopic sinus surgery (ESS) has become the standard surgical procedure for CRS, focusing on the removal of pathological lesions and the restoration of normal sinus drainage and ventilation. Recent advances in endoscopic techniques have improved both the precision and safety of ESS. A thorough understanding of sinonasal anatomy, together with meticulous preoperative planning, is essential to minimize complications and ensure successful outcomes. Postoperative care, including nasal irrigation and topical corticosteroids, plays a critical role in promoting mucosal healing and preventing disease recurrence.

Discussion and Conclusion: Surgical treatment for CRS continues to evolve, providing significant symptom relief for patients who are unresponsive to medical therapy. Optimal outcomes depend on individualized surgical planning that takes into account symptom severity, radiologic findings, and patient comorbidities. As our understanding of CRS shifts toward recognizing it as an immune-mediated disease, rather than a purely infectious or obstructive process, the role of surgery has changed accordingly. Ongoing research into minimally invasive techniques, long-term outcomes, and adjunctive therapies is likely to further refine future treatment strategies. A multidisciplinary approach remains vital for improving the overall management of CRS.

참고문헌 (48건) : 자료제공( 네이버학술정보 )

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번호 참고문헌 국회도서관 소장유무
1 Olfaction in patients with nasal polyposis: effects of systemic steroids and radical ethmoidectomy with middle turbinate resection (nasalization). 미소장
2 Role of frontal sinus surgery in nasal polyp recurrence 미소장
3 Controlled trial for long‐term low‐dose erythromycin after sinus surgery for chronic rhinosinusitis 미소장
4 Causes of failure in endoscopic frontal sinus surgery in chronic rhinosinusitis patients 미소장
5 Geographic variation of endoscopic sinus surgery in the united states 미소장
6 Comparison of surgical condition in endoscopic sinus surgery using remifentanil combined with propofol, sevoflurane, or desflurane 미소장
7 Macrolide Therapy for Chronic Rhinosinusitis 미소장
8 Functional Endoscopic Sinus Surgery: Theory and Diagnostic Evaluation 미소장
9 Prophylactic Perioperative Antibiotic Use in Endoscopic Sinus Surgery 미소장
10 The Effect of Maxillary Sinus Irrigation on Early Prognostic Factors after Endoscopic Sinus Surgery: A Preliminary Study 미소장
11 Prevalence and Risk Factors of Chronic Rhinosinusitis in Korea 미소장
12 Multiplanar Sinus CT: A Systematic Approach to Imaging Before Functional Endoscopic Sinus Surgery 미소장
13 Minimally Invasive Sinus Surgery: The Rationale and the Technique 미소장
14 Benefit from the minimally invasive sinus technique 미소장
15 Impact of chronic rhinosinusitis on work productivity through one‐year follow‐up after balloon dilation of the ethmoid infundibulum 미소장
16 A Comparative Study Between Endoscopic Middle Meatal Antrostomy and Caldwell-Luc Surgery in the Treatment of Chronic Maxillary Sinusitis 미소장
17 When are we operating for chronic rhinosinusitis? A systematic review of maximal medical therapy protocols prior to endoscopic sinus surgery 미소장
18 Endonasal micro-endoscopic frontal sinus surgery: The fulda concept 미소장
19 Impact of medically recalcitrant chronic rhinosinusitis on incidence of asthma 미소장
20 Image Guided Endoscopic Sinus Surgery 미소장
21 Role of corticosteroids in Functional Endoscopic Sinus Surgery - a systematic review and meta-analysis 미소장
22 Geographic Variation of Endoscopic Sinus Surgery in Canada 미소장
23 Clinical Effects of Middle Turbinate Resection after Endoscopic Sinus Surgery: A Systematic Review 미소장
24 Long-term Postoperative Azithromycin in Patients with Chronic Rhinosinusitis: A Randomized Clinical Trial 미소장
25 Defining appropriateness criteria for endoscopic sinus surgery during management of uncomplicated adult chronic rhinosinusitis: a RAND/UCLA appropriateness study. 미소장
26 Indications and Outcomes for Draf IIB Frontal Sinus Surgery 미소장
27 The effects of natural ostium and nasoantral window on mucosal regeneration after maxillary sinus surgery in rabbits. 미소장
28 Outcomes After Frontal Sinus Surgery 미소장
29 The Preoperative Sinus CT: Avoiding a “CLOSE” Call with Surgical Complications 미소장
30 Systematic Review of Patient-Reported Outcomes after Revision Endoscopic Sinus Surgery 미소장
31 Endotype-driven care pathways in patients with chronic rhinosinusitis 미소장
32 Appropriateness criteria predict outcomes for sinus surgery and may aid in future patient selection 미소장
33 Does Delaying Endoscopic Sinus Surgery Adversely Impact Quality‐of‐Life Outcomes? 미소장
34 Is sino-nasal outcome test-22 reliable for guiding chronic rhinosinusitis patients for endoscopic sinus surgery? 미소장
35 Regional differences in endoscopic sinus surgery in Finland: a nationwide register-based study 미소장
36 Optimization of the Surgical Field in Endoscopic Sinus Surgery: an Evidence-Based Approach 미소장
37 Evaluation of cerebral oxygen saturation during hypotensive anesthesia in functional endoscopic sinus surgery 미소장
38 Revision surgery rates in chronic rhinosinusitis with nasal polyps: meta‐analysis of risk factors 미소장
39 European Position Paper on Rhinosinusitis and Nasal Polyps 2020 미소장
40 Sinonasal debridement versus no debridement for the postoperative care of patients undergoing endoscopic sinus surgery 미소장
41 Is there a role for up-to-date imaging in patients awaiting sinus surgery? 미소장
42 International consensus statement on allergy and rhinology: rhinosinusitis 2021 미소장
43 ACR Appropriateness Criteria® Sinonasal Disease: 2021 Update 미소장
44 Evaluation of an image-guided navigation system in the training of functional endoscopic sinus surgeons. A prospective, randomised clinical study 미소장
45 Does time to endoscopic sinus surgery impact outcomes in chronic rhinosinusitis? Retrospective analysis using the UK clinical practice research data 미소장
46 The classification, diagnosis, and treatment of rhinosinusitis 미소장
47 Timing of Surgery and Outcomes in Chronic Rhinosinusitis: A Narrative Review and Meta-Analysis 미소장
48 Global Incidence and Prevalence of Chronic Rhinosinusitis: A Systematic Review 미소장