Endoscopy is now the gold standard for diagnoses and managements of most diseases of paranasal sinuses. Hence, it’s a major obligation of the hospital to provide this requisite instrument that meets international standard. The current concept recommends complete removal of the inflammatory cells and tissue parts. However, the concept does not recommend complete removal of the mucosa.
Surgical intervention should also pave the way of following anti-inflammatory therapies. This article focuses on the prerequisites of endonasal endoscopic surgery. Principles of sinus surgery: The disturbed drainage or ventilation needs to be improved or restored The foci of the disease like polyps, osteitic bone trabeculae, mucus accumulation, tumors, secretory concrements need to be removed Normal or only slightly altered mucosa should be preserved Anatomical landmarks should be protected For a disease…
