만성부비동염의 내시경 수술후 재발

Endoscopic sinus surgery is a relatively new surgical procedure that was introduced in the late 1970's. But for some patients, functional endoscopic sinus surgery fails to relieve persistent chronic sinusitis. The objective of this study is to evaluate the recurrence rate of patients with chronic sinusitis who was underwent endoscopic sinus surgery and to define characteristics of patients requiring revision endoscopic sinus surgery.

After analyzing the charts of 405 patients, we reviewed the 83 cases of revision surgery performed between 1991 and 1994. In this study, we divided these patients into two groups ; chronic sinusitis without nasal polyp (group I) and with nasal polyp(group II). Recurrence rate was 15% in group I and 27% in group II. Most common complaint was nasal obstruction and most common involved sinus was maxillary sinus in both groups.

We suggest that continuous and careful postoperative care will be needed to prevent recurrence of chronic sinusitis, especially with nasal polyp.