For many patients with chronic rhinosinusitis, functional endoscopic sinus surgery (FESS) has provided much needed relief from a condition that, by its daily aggravation, can significantly reduce quality of life.
Explore this issue:January 2010
In some patients, however, symptom relief is not achieved even after surgery, or the disease recurs and patients must return for revision surgery. What are the main reasons for revision surgery? How can it be avoided?
Answering these questions is anything but straightforward. A failed surgery in one patient’s eyes may be a success in another’s, and strict criteria for defining what success or failure means clinically are somewhat arbitrary given that the outcome desired—improved quality of life—is not an exact quantifiable outcome.