Role of Maximal Endoscopic Sinus Surgery Techniques in Chronic Rhinosinusitis

John M. Lee, Alexander G. Chiu

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations


There remains a continued debate regarding the extent of endoscopic sinus surgery (ESS) required for patients with chronic rhinosinusitis (CRS). By examining anatomic, etiologic, and postoperative factors that may lead to recalcitrant CRS, this article aims to highlight some of the reasons for performing maximal techniques in ESS. This concept is further expanded in various surgical maneuvers including wide maxillary antrostomy, extended frontal sinus procedures, and intraoperative computed tomography-guided ESS.

Original languageEnglish (US)
Pages (from-to)579-589
Number of pages11
JournalOtolaryngologic Clinics of North America
Issue number3
StatePublished - Jun 2010


  • Endoscopic modified Lothrop
  • Intraoperative computed tomography
  • Maximum techniques
  • Nasalization
  • Topical irrigations
  • Wide maxillary antrostomy

ASJC Scopus subject areas

  • Otorhinolaryngology


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