Chronic Rhinosinusitis: Matching the Extent of Surgery with Pathology or Does the Extent of Surgery Matter?

Abstract

Purpose of Review: The purpose of this review is to summarize the current literature on the extensiveness of surgery in patients with diffuse type 2 chronic rhinosinusitis (CRS). Recent Findings: There is currently no consensus on the role of the extent of sinus surgery in disease control and definitions of surgical terms in diffuse type 2 CRS. Several suggestions have been made to quantify the extent of surgery or standardize the description of surgical interventions. Summary: The extent of surgery in CRS depends potentially on the severity of disease and the type of underlying inflammation. A variety of extended endoscopic procedures can be used in the management of primary diffuse bilateral type 2 chronic rhinosinusitis; however, long-term follow-up results and clear definitions of complete surgery are lacking in the current literature.