Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Pathophysiologic Considerations

  title={Endoscopic Endonasal Surgery—Concepts in Treatment of Recurring Rhinosinusitis. Part I. Anatomic and Pathophysiologic Considerations},
  author={Heinz R. Stammberger},
  journal={Otolaryngology-Head and Neck Surgery},
  pages={143 - 147}
  • H. Stammberger
  • Published 1 February 1986
  • Medicine
  • Otolaryngology-Head and Neck Surgery
Many years of endoscopic investigation and observation proved that most infections of the paranasal sinus are rhinogenic, spreading from the nose into the sinuses. The common focus of infection in cases of recurring sinusitis is the stenotic areas of the anterior ethmoid, with infection recurring in the larger sinuses. The anterior ethmoid, especially its infundibulum, is thus a key location for infection or cure, and maxillary as well as frontal sinuses are fully dependent on the… 

Figures from this paper

Microscopic Endonasal Surgery: Clinical Update for Treatment of Chronic Sinusitis with Polyps

The operative experience in a group of 325 patients who were treated for chronic sinusitis with polyposis nasi using microscopic endonasal surgery is detailed to detail the need for specialized instrumentation, general anesthesia, and difficult visualization of angular views.

Endonasal Endoscopic Marsupialization of Paranasal Sinus Mucoceles

No evidence of recurrence was observed in any patients during follow-up periods ranging from 36 to 84 months, and recently developed endonasal endoscopic approaches were used for the drainage and marsupialization of mucoceles.

The complications of endoscopic sinus surgery

Endoscopic sinus surgery (ESS) has been shown to have a comparable, if not lower, complication rate to traditional intranasal and external ethmoidectomy in several series, which compares favourably with historical series of conventional surgery.

Comparison of Functional Endonasal Sinus Surgery with and without Partial Middle Turbinate Resection

A paucity of complications and the potential outcome benefits of judicious partial middle turbinate resection in some patients with more severe rhinosinusitis are demonstrated.

Surgical Management of Paranasal Sinus Mucoceles: A Long-Term Study of 60 Cases

Endoscopic Endonasal Treatment of Ostium of the Frontal Sinus and the Results of Endoscopic Surgery

We discuss a procedure for opening the nasofrontal duct and the postoperative findings in endoscopic endonasal surgery. The route of the anterior ethmoidal artery was also studied. The subjects of

Surgical management of rhinosinusitis.

Endoscopic approach to sinus disease.

  • R. Lusk
  • Medicine
    The Journal of allergy and clinical immunology
  • 1992

Transimplant antral lavage as minimally invasive treatment of chronic rhinosinusitis: Preliminary report of 11 consecutive cases.

The dental implant with an internal central port and integral dedicated sealing screw may be used for irrigation, observation, and further treatment of the maxillary sinus in cases of CRS.



Unsere endoskopische Operationstechnik der lateralen Nasenwand ― ein endoskopisch-chirurgisches Konzept zur Behandlung entzündlicher Nasennebenhöhlenerkrankungen

Endoscopic endonasal surgery under guidance of rigid endoscopes indicates that there is hardly any indication left for a Caldwell-Luc procedure in chronic recurring sinusitis.

[Mucous membrane changes in the anterior ethmoid bone in chronic sinusitis and mycoses of the paranasal sinuses. An endoscopy, light and electron microscopy study. 2. Electron microscopy findings].

In the second part of this paper the findings of electron microscopical studies on ultrastructural changes of the cilia of the ethmoidal mucous membrane in patients with mycotic chronic sinusitis are

Feinstruktur der Nasenschleimhaut bei Mukoviszidose unter besonderer Bercksichtigung der Polyposis@@@Fine structure of nasal mucosa in mucoviscidosis, with special regard to polyposis

The fine structural changes of the glands are particularly marked in endonasal polyps of mucoviscidosis-children; such polyps differ from allergic polyposis by their usual lack of eosinophilic infiltration.

A Scanning Electron Microscopic Investigation on Otosclerotic Stapes

  • D. Lim
  • Medicine
    The Annals of otology, rhinology, and laryngology
  • 1970
These light microscopic investigations served as an invaluable basis for the present understanding of the pathology of stapedial otosclerosis.

Scanning electron microscopy of the nasal mucous membrane.

The structures of components of the nasal mucous membrane have been studied by means of the scanning electron microscope. The mucous covering the lining epithelial cell as well as intercellular

Atypical Cilia of the Human Nasal Mucosa

Typical and atypical ultrastructural features of the cilia in the human nasal mucosa are reported in this paper, and cilia which contained a multiple axial filament complex were found in the mucosa of the chronic sinusitis cases.

Three-dimensional surface representation of the cilia-free nasal mucosa of man. A scanning-electron-microscopical study.

  • H. Lenz
  • Medicine
    Acta oto-laryngologica
  • 1973
The normal and the pathologically changed surface of the human nasal mucosa of the inferior conchae is described three-dimensionally with the aid of the scanning-electron-microscope Stereoscan.

Elektronenmikroskopische Untersuchungen an Der Nasenschleimhaut: I. Das Flimmerepithel nach lokalen Schädigangen

Bezugnehmend auf unsere fruheren lichtmikroskopischen Untersuchungen uber den Regenerationsablauf in der Nasenschleimhaut nach lokalen Schadigungen sowie uber die Veranderungen der Schleimhaut nach

Development of the ciliary epithelium in human nose.

In 15 foetuses, ranging in age from the 8th to the 23rd menstrual week, the development of ciliated cells in the nose was analysed quantitatively by counting ciliated cells in high power fields. The