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May 16, 1990

Otolaryngology—Head and Neck Surgery

JAMA. 1990;263(19):2669-2671. doi:10.1001/jama.1990.03440190125067

Just as the operating microscope revolutionized ear surgery in the 1950s, the fiberoptic telescope is causing many otolaryngologists to change the way they think about paranasal sinus disease and the manner in which they will perform surgery in the 1990s. Endoscopic sinus surgery (ESS), which utilizes the fiberoptic telescope, is relatively new in the United States, and data about long-term follow-up of ESS cases are just beginning to appear in the literature. In a series of 100 consecutive cases, all with 2 years of follow-up, Rice1 noted that 7% needed revision surgery, and in each such case the problem was a narrowed middle meatus. Of the 93 cases that required a single procedure, 83% of the patients became completely asymptomatic, and 10% reported only occasional sinusitis. Although the majority of ESS is performed on adults, Gross et al2 reported their experience with 54 children diagnosed with recurrent or