{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:30:00Z","timestamp":1789039800203,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study is to determine the impact of demographics and sinonasal comorbidities on the revision rate of functional endoscopic sinus surgery (FESS) for chronic rhinosinusitis (CRS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Although endoscopic sinus surgery (ESS) is often successful in providing long\u2010term relief for patients suffering from CRS, revision surgery can occur. There is conflicting literature on the impact of race on FESS outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010center retrospective cohort study of patients that underwent FESS for CRS between January 1, 2015 and June 1, 2021 at a single tertiary care academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 682 patients between the ages of 18 and 89 underwent primary ESS between January 1, 2015 and June 1, 2021 and were included in this study. Of these patients, 388 (56.9%) were female, with an average age of 48.6\u2009\u00b1\u200916.7. Thirty\u2010eight patients (5.6%) underwent revision sinus surgery during the study period. Patients that identified as White had significantly lower rates of revision sinus surgery (4.1%) than non\u2010White patients (10.7%), including those identifying as Asian, Black, multiracial, or other. On multivariate analysis, non\u2010White race (OR 4.933), polyposis (3.175), and high preoperative SNOT\u201022 scores (OR 1.029) were independently associated with revision sinus surgery. The mean preoperative SNOT\u201022 for all participants was 39.1\u2009\u00b1\u200922.0, whereas the mean postoperative SNOT\u201022 was 20.6\u2009\u00b1\u200917.5 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Race plays an important role in outcomes following revision sinus surgery that is independent of location and insurance status. More studies are required to assess the reason race plays an important role in outcomes following revision sinus surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>Level 3 <jats:italic>Laryngoscope<\/jats:italic>, 133:2878\u20132884, 2023<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30647","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T10:25:51Z","timestamp":1679912751000},"page":"2878-2884","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Revision Rates and Symptom Trends Following Endoscopic Sinus Surgery: Impact of Race on Outcomes"],"prefix":"10.1002","volume":"133","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3471-3933","authenticated-orcid":false,"given":"Firas","family":"Hentati","sequence":"first","affiliation":[{"name":"Case Western Reserve University School of Medicine  Cleveland Ohio 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