<abstract xmlns="http://www.w3.org/1999/xhtml">

<bold>BACKGROUND.</bold> Endoscopic sinus surgery (ESS) has revolutionized the treatment of nasal and paranasal sinus conditions, offering minimally invasive techniques with improved patient outcomes. However, ESS can be challenging, lengthy, and physically demanding. This article presents a comprehensive overview of factors to consider before and during ESS to enhance surgical ease and patient comfort.
<bold>MATERIAL AND METHODS.</bold> The paper is a literature review sustaining a point of view on the factors influencing the outcome of endoscopic sinus surgery.
<bold>RESULTS.</bold> Preoperative considerations encompass a thorough assessment of surgical indications, weighing against medical alternatives as per guidelines. Attention to patient comorbidities, medication management and infection control are paramount. Intraoperatively, collaboration with anesthesiologists is crucial for optimizing patient stability and minimizing complications. Ergonomic considerations, patient positioning and surgical environment optimization contribute to surgeon comfort and procedural efficiency. The surgical procedure entails meticulous preparation of the nasal cavity, preservation of anatomical structures, and adherence to standardized techniques. The sphenoethmoidectomy is described as a sequential five-door procedure, emphasizing anatomical landmarks and meticulous dissection techniques. Hemostasis and the judicious use of powered shavers play pivotal roles in minimizing bleeding and optimizing tissue removal. Navigation systems offer additional support, particularly in complex cases or revision surgeries.
<bold>CONCLUSION.</bold> ESS requires meticulous planning, technical proficiency, and interdisciplinary collaboration to optimize outcomes. Anticipation and adherence to standardized protocols are paramount in navigating the challenges of ESS, ultimately enhancing surgical ease and patient comfort.
</abstract>

BACKGROUND. Endoscopic sinus surgery (ESS) has revolutionized the treatment of nasal and paranasal sinus conditions, offering minimally invasive techniques with improved patient outcomes. However, ESS can be challenging, lengthy, and physically demanding. This article presents a comprehensive overview of factors to consider before and during ESS to enhance surgical ease and patient comfort.
MATERIAL AND METHODS. The paper is a literature review sustaining a point of view on the factors influencing the outcome of endoscopic sinus surgery.
RESULTS. Preoperative considerations encompass a thorough assessment of surgical indications, weighing against medical alternatives as per guidelines. Attention to patient comorbidities, medication management and infection control are paramount. Intraoperatively, collaboration with anesthesiologists is crucial for optimizing patient stability and minimizing complications. Ergonomic considerations, patient positioning and surgical environment optimization contribute to surgeon comfort and procedural efficiency. The surgical procedure entails meticulous preparation of the nasal cavity, preservation of anatomical structures, and adherence to standardized techniques. The sphenoethmoidectomy is described as a sequential five-door procedure, emphasizing anatomical landmarks and meticulous dissection techniques. Hemostasis and the judicious use of powered shavers play pivotal roles in minimizing bleeding and optimizing tissue removal. Navigation systems offer additional support, particularly in complex cases or revision surgeries.
CONCLUSION. ESS requires meticulous planning, technical proficiency, and interdisciplinary collaboration to optimize outcomes. Anticipation and adherence to standardized protocols are paramount in navigating the challenges of ESS, ultimately enhancing surgical ease and patient comfort.

How to make your sinus surgery more comfortable: our point of view

“Carol Davila” University of Medicine and Pharmacy

Romanian Journal of Rhinology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"How to make your sinus surgery more comfortable: our point of view"}

BACKGROUND. Endoscopic sinus surgery (ESS) has revolutionized the treatment of nasal and paranasal sinus conditions, offering minimally invasive techniques...

How to make your sinus surgery more comfortable: our point of view

Data publikacji: 29 kwi 2024

Zakres stron: 53 - 59

Otrzymano: 29 lut 2024

Przyjęty: 31 mar 2024

DOI: https://doi.org/10.2478/rjr-2024-0010

Słowa kluczowe
endoscopic sinus surgery, factors, outcome, sphenoethmoidectomy, shaver, navigation system

© 2024 Philippe Eloy et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to make your sinus surgery more comfortable: our point of view

Data publikacji: 29 kwi 2024

Zakres stron: 53 - 59

Otrzymano: 29 lut 2024

Przyjęty: 31 mar 2024

DOI: https://doi.org/10.2478/rjr-2024-0010

Słowa kluczoweendoscopic sinus surgery, factors, outcome, sphenoethmoidectomy, shaver, navigation system

© 2024 Philippe Eloy et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Słowa kluczowe
endoscopic sinus surgery, factors, outcome, sphenoethmoidectomy, shaver, navigation system