Another look at functional endoscopic sinus surgery

Endoscopic radical antrectomy: a permanent replacement for the Caldwell–Luc operation

“…The functional postulate is based on the theory that the ostia of the maxillary sinuses are the key areas for pathogenesis of the disease and that their obstruction causes a cascade of pathological changes which eventually lead to chronic inflammation. Based on this theory, the surgical technique that opens such obstructed ostia should promote recovery of maxillary sinus epithelium and restoration of its function 1 – 5 …”

Surgical treatment of nasal polyposis in patients with aspirin intolerance

“…Other cases of diffuse polypoid sinusitis represent a unique disease which is less influenced pathogenetically by local microanatomy6 and, as a result, does not respond adequately to mere “isthmus surgery”. A more aggressive surgical approach is called for which, nevertheless, should take into account the maximum conservation of nasal physiology 7.…”