[Endoscopic sinus surgery, clinical aspect with 69 cases].

Sixty-nine patients (121 sides) received endoscopic sinus surgery between May, 1993 and October, 1994. All of the patients exhibited following clinical signs: bilateral or unilateral nasal polyps and paranasal sinusitis. There were 43 men and 26 women, ranging in age from 14 to 68 years. Among the patients, 14 (25 sides) were treated with functional ethmoidectomy; 33 (59 sides) with total ethmoidectomy; and 21 (36 sides) with sphenoethmoidectomy. 23 patients (36 sides) were treated simultaneously with radical maxillary sinus surgery. According to the data of postoperative follow-up, nasal obstruction disappeared completely in 57 cases (57/59); headache remitted in 51 (51/56); and 35 (35/54) were free of purulent nasal discharge. No severe complications were observed. The incidence of residual and recurrent polyp were 12.39% (15/121 sides). The curative effect of endoscopic sinus surgery was analysed. The indications of operation, the preoperative CT scan of paranasal sinuses, and the endoscopic techniques were discussed.