Review Article
Thirty years of endoscopic sinus surgery: What have we learned?
World Journal of Otorhinolaryngology-Head and Neck Surgery, 2017,03(02) : 115-121. DOI: 10.3760/cma.j.issn.2095-8811.2017.02.110

Prior to adaptation of endoscopic approaches for sinonasal pathology, patients regularly endured significant morbidity from open approaches to the sinonasal cavity that were often fraught with failure. With improvements in transnasal endoscopy, functional endoscopic sinus surgery subsequently emerged from the work of Messerklinger and other pioneers in the field. The popularity of endoscopic sinus surgery quickly escalated and expanded to pathology other than inflammation. Here, we discuss the evolution of endoscopic sinus surgery as it relates to improvements in understanding disease pathogenesis, improvements in instrumentation and expansion of indications.

Cite as: Tajudeen Bobby A., Kennedy David W.. Thirty years of endoscopic sinus surgery: What have we learned? [J]. World Journal of Otorhinolaryngology-Head and Neck Surgery,2017,03(02): 115-121. DOI: 10.3760/cma.j.issn.2095-8811.2017.02.110
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History of endoscopic procedures

The first attempt at nasal endoscopy is largely credited to Hirschman in 1901. In this early work, a modified cystoscope was used to examine the sinonasal cavity.1 Subsequently, Reichert performed what would be regarded as the first endoscopic procedure; rudimentary maxillary sinus manipulations with a 7 mm endoscope through an oroantral fistula.2 In 1925, Maltz promoted use of nasal endoscopes for diagnostic evaluation of the sinonasal cavity and coined the term 'sinuscopy’.3 The creation of the Hopkins rod system in the 1960s was perhaps the major turning point in the field of sinonasal endoscopy.

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