We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Otolaryngology—Head and Neck Surgery

Charles M. Stiernberg, MD
JAMA. 1990;263(19):2669-2671. doi:10.1001/jama.1990.03440190125067.
Text Size: A A A
Published online


Just as the operating microscope revolutionized ear surgery in the 1950s, the fiberoptic telescope is causing many otolaryngologists to change the way they think about paranasal sinus disease and the manner in which they will perform surgery in the 1990s. Endoscopic sinus surgery (ESS), which utilizes the fiberoptic telescope, is relatively new in the United States, and data about long-term follow-up of ESS cases are just beginning to appear in the literature. In a series of 100 consecutive cases, all with 2 years of follow-up, Rice1 noted that 7% needed revision surgery, and in each such case the problem was a narrowed middle meatus. Of the 93 cases that required a single procedure, 83% of the patients became completely asymptomatic, and 10% reported only occasional sinusitis. Although the majority of ESS is performed on adults, Gross et al2 reported their experience with 54 children diagnosed with recurrent or


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.