Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Advances in the Surgical Management of Chronic Rhinosinusitis. | Rhinitis and Sinusitis Advances in the Surgical Management of Chronic Rhinosinusitis Erin D. Wright MDCM MEd FRCSC Saul Frenkiel MDCM FRCSC Abstract The surgical management of chronic rhinosinusitis has evolved considerably in the last decade. We currently have a more refined understanding of the various disease entities that make up the generic diagnosis of chronic rhinosinusitis. This has led to the development of more sophisticated medical and surgical therapy for the different entities. Failure of maximal medical therapy leads to the consideration of surgical intervention with the general intent of improving the patient s quality of life. Recent technical innovations such as mucosapreserving instrumentation and image guidance systems for intraoperative localization have given surgeons increased confidence and enabled more complete and effective surgical management of chronic rhinosinusitis particularly in revision surgeries or in the presence of distorted landmarks. Improved packing materials and refinement of postoperative care are active areas of investigation and innovation that it is hoped will also translate into improved patient care. Assumption and Statement of Scope This article is intended to provide an overview of the surgical management of chronic rhinosinusitis CRS . We assumed a general understanding E. D. Wright Department of Otolaryngology University of Western Ontario London Ontario S. Frenkiel Department of Otolaryngology McGill University Montreal Quebec Correspondence to Dr. Erin D. Wright London Rhinosinology Centre St. Joseph s Health Care 900 Richmond Street 3rd Floor London ON N6A 5B3 on the part of the reader of sinonasal anatomy and physiology which are well covered elsewhere and beyond the scope of this Diagnostic Considerations Prior to beginning a discussion of surgical management of CRS it is worthwhile to mention the diagnostic methodology and a classification of CRS. CRS is primarily a clinical diagnosis based on history
