Even in patients with relatively common sinus disease, decision making about endoscopic sinus surgery (ESS) can be difficult, and not all cases are the same. This was one of the points brought out in discussion of a series of cases at the Ask the Experts Panel: An Endoscopic Sinus Surgery Potpourri at the annual AAO-HNS conference in Toronto in September. During the panel, five leading sinus surgeons discussed several challenging cases.
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February 2007Two Teen Cases
The first two cases presented were of teen patients, the first being presented by David Kennedy, MD, Vice Dean for Professional Services at University of Pennsylvania School of Medicine, who also moderated the session.
A 15-year-old male who had failed endoscopic frontal sinusotomy three months previously came to Dr. Kennedy’s clinic. The teen complained of severe frontal headaches, had no major nasal symptoms, but had missed numerous days of school because of the headaches.