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Journal of Long-Term Effects of Medical Implants
The Minimally Invasive, Endoscopic Approach to Sinus Surgery
Daniel G. Becker
Associate Professor, Director of Facial Plastic Surgery Dept of Otolaryngology-Head and Neck Surgery, University of Pennsylvania Medical Center Founder, Becker Nose and Sinus Center, LLC Sewell, New Jersey, USA
When anatomic abnormalities of the nose and sinuses contribute to sinusitis, and when medical therapy has failed, these anatomic or structural abnormalities can be surgically corrected. Examples of anatomic problems include nasal polyps, nasal septal deviations, and blockage of the osteomeatal complex—the "crossroads" of the sinuses. Endoscopic techniques allow sinus specialists to diagnose and treat these problems more easily than in the past, allowing them to be more proactive in the management of anatomic nasal abnormalities. In this article we review the minimally invasive, endoscopic approach to sinus surgery and discuss recent advances in sinus surgery. Specifically, we discuss the utility of powered instrumentation and image guidance in endoscopic sinus surgery.
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