Endoscopic Sinus Surgery for Ostiomeatal Disease

Abstract

The advent of endoscopic sinus instrumentation and high-resolution computed tomographic (CT) scanning enables otolaryngologists to delineate precisely the anatomy of the middle meatus. We have utilized a staging system for chronic sinusitis based on endoscopic and CT criteria. This system provides a means of evaluating and standardizing the surgical approach and provides a basis for institutional comparison. In this system Stage I disease includes patients with a history of recurrent sinusitis and anatomic findings which narrow and impinge upon the ostiomeatal complex. We are reporting on 25 patients with Stage I disease who underwent surgical treatment for ostiomeatal complex disease. The endoscopic and CT findings will be presented, as well as follow-up defining control of symptomatology.