Most of the sinusitis that need to be treated by surgery are chronic sinusitis that has been ineffective by conservative treatment. Therefore, it is very important to have high requirements for doctors’ skills and experience, and appropriate trade-offs in surgery.
2, and equipment conditions: modern nasal endoscopic surgery requires high equipment conditions, which is an important condition to ensure the quality of rhinological surgery, such as high-definition nasal endoscopic surgery monitoring system, high-speed micro-cutting surgical system, high-quality surgical instruments essential. This is one of the important conditions to ensure the efficacy of sinusitis surgery.
3, reasonable perioperative treatment: mainly refers to pre-surgery and post-surgery treatment, of which post-surgery review and treatment is particularly important. Many patients think everything is fine when they feel their symptoms have improved after surgery and neglect post-operative review, which is an important reason for the poor efficacy. When they come back for review when symptoms arise, the lesions are often more serious, losing the time for recent treatment, and some patients need surgery again.
4, the patient’s own physical factors: there are a small number of patients due to their own physical reasons, such as sinusitis combined with the presence of asthma, aspirin intolerance, nasal polyps, even after doing high-quality surgery, post-operative review is also very positive, most still can not avoid recurrence. Such patients often require long-term systemic hormone therapy to delay recurrence.
Reducing recurrence and improving outcomes is a common goal for both rhinologists and patients, and requires a joint effort between doctors and patients to accomplish.