Endoscopic
sinus surgery is considered the most effective method for treating chronic
rhinosinusitis. A detailed evaluation of the patient and identification of
anatomical variations are of great importance before surgery. In this process,
the distance of the cribriform plate from the frontal orbital process is
categorized into three types to guide surgical planning: Type I (1-3 mm), Type
II (4-7 mm), and Type III (8 mm or more). Anatomical landmarks are critical in
surgical procedures. Common minor complications after surgery include adhesions
and bleeding, while the most common major complication is cerebrospinal fluid
fistula. Knowledge of the disease characteristics and the anatomy of the
paranasal sinuses is essential for successful outcomes. Additionally, long-term
medical treatment should be administered prior to surgery.
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