Endoscopic Sinus Surgery in the Management of Nasal Obstruction

Bruce K. Tan, Andrew P. Lane

Research output: Contribution to journalReview article

Abstract

Nasal obstruction is the leading symptom observed among patients who have chronic rhinosinusitis (CRS) with or without nasal polyposis. After failure of medical therapy, functional endoscopic sinus surgery (FESS) has emerged as the preferred treatment of CRS. Interestingly, although patient-reported outcomes show unequivocal relief of nasal obstruction after FESS, studies measuring nasal airflow and resistance demonstrate more modest improvements. This article provides an overview of the physiology of nasal airflow sensation, the burden of nasal obstruction in patients who have CRS, and the efficacy of FESS in addressing nasal obstruction in this population. Additionally, advances in airflow modeling that may enable improved preoperative planning for the relief of nasal obstruction after FESS are discussed.

Original languageEnglish (US)
Pages (from-to)227-240
Number of pages14
JournalOtolaryngologic Clinics of North America
Volume42
Issue number2
DOIs
StatePublished - Apr 1 2009

Keywords

  • Chronic rhinosinusitis
  • Endoscopic sinus surgery
  • Nasal congestion
  • Nasal obstruction
  • Outcomes

ASJC Scopus subject areas

  • Otorhinolaryngology

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