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  • 7/30/2019 Anatomic Findings in Patients UndergoingRevision Endoscopic Sinus Surgery

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    Dgdqemnc Hngangjs ng Vdqnigqs Ygai{jengj[ixnsneg Igaescevnc Sngys Sy{ji{~

    Vni{{i ^' Mys~, MA," dga Sqn`ndges I' Oeygqdons, MA, VlA

    Ekbicqnxi2 Qe {ive{q qli dgdqemnc fflgangjs qldq cegq{nkyqi qe vi{snsqigq sngysnqns ng vdqnigqs{ityn{ngj {ixnsneg hygcqnegd` igaescevnc sngys sy{ji{~ ,HISS.'Miqleas2 Adqd zi{i ce``icqia v{esvicqnxi`~ eg cegsicyqnxi vdqnigqs {ityn{ngj {ixnsnegHISS dq d qi{qnd{~ ngsqnqyqneg exi{ d ;-~id{ vi{nea' Vdqnigqs zi{i ixd`ydqia znql igaescevnci|dmngdqneg eh qli sngegdsd` cdxnqnis dga cemvyqia qemej{dvl~ eh qli sngysis zdsvi{he{mia dhqi{ vdqnigqs hdn`ia v{e`egjia miancd` qli{dv~ he{ sngysnqns' Nghe{mdqneg zds d`sece``icqia ay{ngj qli {ixnsneg sy{ji{~'[isy`qs2 Qli mesq cemmeg dgdqemnc hdcqe{ dssecndqia znql v{nmd{~ sy{ji{~ hdn`y{i zds`dqi{d`nrdqneg eh qli mnaa`i qy{kngdqi ,:).' Ng daanqneg {iqdngia djji{ gdsn dga {iqdngia ygcngdqi

    v{eciss zi{i naigqnfflia ng 1>) dga 3:) eh qli vdqnigqs {isvicqnxi`~' [icy{{igq ve`~vesnszds siig ng 3:) eh qli vdqnigqs' Eqli{ hdcqe{s sycl ds vi{snsqigq svligena ansidsi dgasvligena esqnym sqigesns zi{i `iss h{ityigq'Cegc`ysneg2 Hdn`y{i eh v{nmd{~ HISS ns mesq ehqig dssecndqia znql dgdqemnc eksq{ycqneg ngqli d{id eh qli esqnemidqd` cemv`i|' Miqncy`eys dqqigqneg ng qlns d{id ay{ngj sy{ji{~ znqlxigqn`dqneg eh eksq{ycqia dgdqem~ ds zi`` ds dxenadgci eh scd{{ngj dga qy{kngdqi aisqdkn n-rdqneg md~ {iayci qli hdn`y{i {dqi dhqi{ v{nmd{~ HISS',Dm B Eqe`d{~gje` ;661?;9214

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    he``ezngj zi{i s~sqimdqncd` ~ dssissia2 {iqdngiaygcngdqi v{eciss `dqi{d`nria mnaa`i qy{kngdqi {i-qdngia djji{ gdsn ci`` MMD sqigesns {icn{cy`dqnegvligemigeg {icy{{igq ve`~vesns h{egqd` {iciss,H[. scd{{ngj ngcemv`iqi dgqi{ne{ dga%e{ vesqi{ne{iqlmenaicqem~ giz e{ vi{snsqigq svligena sngysansidsi dga qli v{isigci eh d``i{jnc hygjd` sngys-nqns' Cemvyqi{ qemej{dms kihe{i v{nmd{~ sy{ji{~zi{i geq dxdn`dk`i he{ ey{ {ixniz' He{ vy{vesis ehsce{ngj eg`~ vdqnigqs znql {danej{dvlnc ixnaigcieh ansidsi ng qli {isvicqnxi iqlmena dn{ ci``s dga{isnayd` keg~ sivqd zi{i cegsnai{ia qe ldxi ldangcemv`iqi dgqi{ne{ e{ vesqi{ne{ iqlmenaicqemnis'Gdsd` igaescev~ dga CQ zi{i ysia qe aecymigq

    dga cegffl{m dkge{md` dgdqemnc fflgangjs' Vdqnigqszi{i jnxig d sce{i kdsia eg qli he{m slezg ngQdk`i 4' Qlns zds aegi qe slez qli gymki{ ehdgdqemnc fflgangjs qldq cegq{nkyqia qe qli vdqnigqsvi{snsqigq sngys ansidsi dga lda qe ki daa{issiaay{ngj {ixnsneg sy{ji{~' Ri{e aigeqis dksigci ehqli dgdqemnc fflgangj dga 4 aigeqis nqs v{isigci'Qli signe{ dyqle{ dga {isnaigq vl~sncndgs ygai{lns syvi{xnsneg vi{he{mia d`` sy{ji{nis k~ ysngjqli Missi{o`ngji{ qiclgntyi'4-3

    [ISY@QS

    Qli gymki{ eh v{ne{ igaescevnc v{eciay{is

    {dgjia h{em 4 qe 8 znql d midg eh 4': ,Hnj 4.'Ng daanqneg d gymki{ eh vdqnigqs lda d`seygai{jegi dgcn``d{~ v{eciay{is ngc`yangjsivqev`dsq~ ng

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    gdsd` igaescev~' Vdqnigqs zi{i dssnjgia dsce{i kdsia eg qli he{m slezg ng Qdk`i 4'Ri{e aigeqis dksigci eh qli dgdqemnc fflgangjdga 4 aigeqis nqs v{isigci'

    Qli v{eciay{is vi{he{mia ay{ngj {ixnsnegHISS d{i slezg ng Hnjy{i 3' Idcl vdqnigq zdsdssnjgia d sy{ji{~ sce{i kdsia eg qli v{eci-ay{is slezg ng Hnjy{i 3 znql 4 vengq vessnk`ivi{ v{eciay{i vi{ snai' Qli midg sce{i zds' Qli{i zds ge ce{{i`dqneg kiqziigqli dgdqemnc fflgangjs sce{i dga qli sy{ji{~sce{i ,Svid{mdg {dgo ce{{i`dqneg ceihfflcnigq2

    { 6'63.'Dgdqemnc fflgangjs zi{i d`se cemvd{ia

    kiqziig vdqnigqs znql ve`~vs ,g ;9. dgavdqnigqs znqleyq ve`~vs ,g 19.' Scd{{ngjng qli h{egqd` {iciss zds v{isigq ng 99) ehvdqnigqs znqleyq ve`~vs zli{ids nq zdsv{isigq ng eg`~ 34) eh vdqnigqs znql ve`~vs,V '616 Qdk`i ;.' Cegxi{si`~ ngcemv`iqivesqi{ne{ iqlmenaicqem~ zds siig ng d`d{ji{ vi{cigqdji eh vdqnigqs znql ve`~vs,9;). cemvd{ia znql vdqnigqs znqleyq ve`-~vs ,;>) V '61 ':94Scd{{ia H[ 34 99 '61[iqdngia djji{ gdsn 9; 3> ';: '61Svligena ansidsi 34 ;; '31:[icn{cy`dqneg 3 ; '891Ngc vesq iqlmenaicqem~ ;; 9: '66;MMD sqigesns 36 1: '433Ve`~vs 3; 13 '36