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Comments About Postoperative Care After Endoscopic Sinus Surgery Dr Erica Thaler’s article reviewing the postoperative examination and postoperative care after ESS is a well- debridement can be customized and done review. Her conclusion that the need for multiple debridements each patient be individualized after reduced. The downsides of multiple 1 or 2 initial postoperative visits is debridements are time, equipment, appropriate. Specific comments and reimbursement issues. Success- based on long-term experience with ful effective debridement can take up ESS are offered. to 30 minutes and, in most cases, re- The background information of- quires topical and sometimes inject- fered by Dr Thaler nicely summa- able anesthesia. In a busy practice, rizes the functional philosophy of ESS. time constraints may be problem- There is no question that doing less atic. Appropriate debridement takes surgery and preserving mucosa leads care and time. Just placing an endo- James A. Stankiewicz, MD to better, faster healing and less need scope into a postoperative nose is not for postoperative care. However, in debridement. Loose clot and crust are cases with remarkable disease and ex- removed. Fixed crust is left alone be- thought. Dr Thaler nicely discusses tensive surgery, postoperative de- cause removal can lead
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Oct 1, 2002
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