Advances in endoscopic sinus surgery have led to development of
applications never imagined before for treating both adult and pediatric
patients with sinus disease. Since 1925, when Maltz introduced for the
first time a telescope in the nose, an incredible diag- nostic tool was
born; Since then, European and American visionares such as Kennedy,
adopted the technique and perfectioned it to our days, when the
application of the "new millenium" technologies, have made endoscopic
endonasal procedures a fascinating chapter of nasal surgery. Attention
to the details of this complex treatment strategy is needed to reap the
full benefits of it, to avoid complications and to recognize unsolved
problems in order to make every treatment the ideal one. As an ENT
surgeon, you must keep in mind that the single most important
contraindication for endonasal surgery, is not some kind of nasal
condition but the inability of a surgeon to understand the intrincated
and complex anat- omy and physiology, knowledge of them both are the
most valuable tools when perform- ing a surgery, making it safe and
helpful to the patient.