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Functional endoscopic sinus

Hannah N Kuhar, Ashwin Ganti, Michael Eggerstedt, Mahboobeh Mahdavinia, Paolo Gattuso, Ritu Ghai, Pete S Batra, Bobby A Tajudeen
BACKGROUND: Chronic rhinosinusitis (CRS) is an inflammatory disease process characterized by different phenotypes and histopathology profiles. Race and access to care have been implicated in CRS disease severity. Structural histopathology reporting may aid in delineating the inflammatory burden responsible for this effect. METHODS: A structured histopathology report of 14 variables was utilized to assess sinus tissue removed during functional endoscopic sinus surgery (FESS)...
February 12, 2019: International Forum of Allergy & Rhinology
David W Jang, Cecily Abraham, Derek D Cyr, Kristine Schulz, Ralph Abi Hachem, David L Witsell
BACKGROUND: In-office balloon sinus dilation (BSD) has recently gained popularity as a surgical treatment option for chronic rhinosinusitis (CRS). However, utilization, indications, and practice patterns surrounding in-office BSD remain unclear. OBJECTIVE: The purpose of this study was to use a large national administrative database to assess preoperative management of CRS prior to in-office BSD. METHODS: Patients undergoing standalone in-office BSD from 2011 to 2014 were identified on MarketScan and compared to a control group undergoing functional endoscopic sinus surgery (FESS)...
February 7, 2019: American Journal of Rhinology & Allergy
Francisco Monteiro, Pedro Oliveira, Artur Condé
The occurrence of foreign bodies in paranasal sinuses is extremely rare. The symptoms are vague and usually discovered after extra/intracranial complications. They may, therefore, go unnoticed if there isn't a strong clinical suspicion. We present a clinical case of a 64-year-old woman with a paranasal sinus microsurgery history more than 30 years ago, who presented with headache and purulent rhinorrhea. A glass tubular structure was discovered in the ethmoid complex. She underwent functional endoscopic sinus surgery...
2019: Case Reports in Otolaryngology
Ahmad Rezaeian, Seyed Mostafa Hashemi, Zeinab Sadat Dokhanchi
Background: Postoperative pain is one of the most complications in endoscopic sinus surgery. We aimed to evaluate the effect of the sphenopalatine ganglion block (SPGB) with bupivacaine on postoperative pain in patients undergoing endoscopic sinus surgery. Methods and Materials: In this clinical trial, 40 patients who indicated functional endoscopic sinus surgery were selected and then divided into 2 parallel groups as intervention and control. The intervention group was received 1.5 mL of bupivacaine 0...
January 2019: Allergy & Rhinology
Badria AlKhudair, Abdulrahman AlKhatib, Ghaleb AlAzzeh, Ali AlMomen
INTRODUCTION: Dentigerous cysts are the second most common form of benign odontogenic cysts. These cysts are commonly single lesions. Bilateral and multiple dentigerous cysts are very rare. CASE PRESENTATION: This article presents a rare case report of bilateral dentigerous cysts associated with two ectopic teeth located atypically in the maxillary sinuses in a 19-year-old male manifesting as bilateral upper jaw pain, post-nasal discharge and recurrent sinusitis which was managed via the endonasal endoscopic approach by enucleation of the cysts and teeth removal...
January 29, 2019: International Journal of Surgery Case Reports
Mainak Dutta
Frontal-orbital-ethmoid mucocele is a slow-growing retention cyst of the fronto-ethmoid complex secondary to blockage of the sinus ostia. It may produce significant disfigurement of the periorbital region necessitating surgical intervention. Prior to surgery, it is imperative to study the mucocele's extent through the variable patterns of ethmoid pneumatization as evident from clinical, imaging (computed tomogram) and endoscopic evaluation. This is illustrated in a case study of a 41-year-old woman presenting with fullness below the right eyebrow, progressive proptosis, and gaze restriction...
March 2019: Radiology Case Reports
Paolo Luparello, Maria S Lazio, Luca Voltolini, Beatrice Borchi, Giovanni Taccetti, Giandomenico Maggiore
PURPOSE: Cystic Fibrosis (CF) is the most common autosomal recessive disease in Caucasian population. Due to its pathological mechanism, chronic rhino sinusitis (CRS) associated or not with nasal polyposis usually occurs in adults and affects close to one-half of all CF patients. The goal of our work was to evaluate the impact of Endoscopic Sinus Surgery (ESS) in the quality of life (QoL) of the CF patients and demonstrate an improvement of the functional outcomes in the patients underwent the surgical procedure rather than in the not treated ones, particulary in lung transplant patients...
January 28, 2019: European Archives of Oto-rhino-laryngology
Xi-Fu Wu, Wei-Feng Kong, Wei-Hao Wang, Lian-Xiong Yuan, Hui-Qing Xu, Min Qi, Shao-Li Zhou, Qin-Tai Yang
BACKGROUND: Enhanced recovery after surgery (ERAS) protocols are a series of perioperative care to optimize preoperative preparation, prevent postoperative complications, minimize stress, and speed up recovery. This study aimed to assess the impact of ERAS protocols for functional endoscopic sinus surgery (FESS) in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). METHODS: One hundred and two patients with CRSwNP undergoing FESS were randomly divided into the ERAS group and the control group...
February 5, 2019: Chinese Medical Journal
Ashok Chirathalattu Babu, Mattavana Ramakrishna Pillai Balachandran Nair, Aneesh Mangalasseril Kuriakose
Background: Olfactory fossa (OF) is a depression in anterior cranial cavity whose floor is formed by cribriform plate of ethmoid. Lateral lamella, which forms its lateral boundary, is a thin plate of bone and is at risk of injury during functional endoscopic sinus surgery, especially when fossa is deep/asymmetric. Aims: To measure the variations in the depth of OF and categorize Kerala population as per Keros classification using computed tomography (CT). Settings and Design: This study was conducted in our institution from January 2016 to August 2017...
October 2018: Indian Journal of Radiology & Imaging
Ashley Tritt, Emily Kay-Rivest, Tiffany Paradis, Melanie Duval
OBJECTIVE: To evaluate whether outpatient treatment of periorbital cellulitis with daily administration of intravenous antibiotics and physician evaluation is an effective and safe alternative to admission. DESIGN: A retrospective chart review study of pediatric patients treated on an outpatient basis for periorbital cellulitis at a tertiary children's hospital between 2013-2015 was performed. Children were assessed day by a pediatrician to monitor for resolution of symptoms or complications...
January 14, 2019: Clinical Otolaryngology
Yuan Zhang, Feng Lan, Ying Li, Chengshuo Wang, Luo Zhang
BACKGROUND: Odontogenic sinusitis (OS) presents more satisfactory therapeutic effect after endoscopic surgery compared with chronic rhinosinusitis (CRS) of other origin. The aim of the present study was to investigate the clinical characteristics, morphological features, and epithelial barrier function of sinus mucosa of OS and discuss the possible relationship with good prognosis. METHODS: A total of 25 subjects with OS, 7 CRS without nasal polyps (CRSsNP), 10 CRS with nasal polyps (CRSwNP), and 9 control subjects were recruited...
January 8, 2019: International Forum of Allergy & Rhinology
Sang-Wook Kim, Rock Bum Kim, Hyunmo Kang, Hyun-Jin Cho, Yeon-Hee Joo, Yung Jin Jeon, Sea-Yuong Jeon
BACKGROUND: Medialization of the middle turbinate (MT) is an effective technique to prevent recurrent rhinosinusitis but could, in theory, reduce olfactory function by interfering the odorants to reach the olfactory mucosae. We performed a prospective randomized double-blind trial under the hypothesis that olfactory functions would be affected by the status of olfactory mucosae, not by MT medialization. METHODS: In randomly selected sides, the unilateral MT was medialized in 80 patients undergoing bilateral endoscopic sinus surgery for chronic rhinosinusitis...
January 4, 2019: International Forum of Allergy & Rhinology
Bobby A Tajudeen, Ashwin Ganti, Hannah N Kuhar, Mahboobeh Mahdavinia, Ashley Heilingoetter, Paolo Gattuso, Ritu Ghai, Pete S Batra
OBJECTIVES/HYPOTHESIS: Failure after sinus surgery is multifactorial, but often due to recurrence of inflammatory mucosal disease. Postoperative steroid requirements for controlling mucosal inflammation may provide insight into predicting which patients require more aggressive medical therapy to prevent disease relapse. STUDY DESIGN: Retrospective chart review. METHODS: A review was performed of patients who underwent functional endoscopic sinus surgery (FESS) for refractory chronic rhinosinusitis (CRS)...
December 28, 2018: Laryngoscope
Ashoke R Khanwalkar, Jasper Shen, Robert C Kern, Kevin C Welch, Stephanie S Smith, Bruce K Tan, David B Conley
BACKGROUND: Whether for research or quality improvement, assessment of postoperative quality of life outcomes faces a challenge in reliable data collection. Typical coordinator-led studies cite response rates from 35% to 70%. This study evaluates the utility of a digital patient engagement platform to track patient-reported outcome measures (PROMs) following septoplasty and functional endoscopic sinus surgery (FESS). METHODS: A prospective cohort was recruited at a tertiary care center from January 2017 to March 2018...
December 26, 2018: International Forum of Allergy & Rhinology
Cha Dong Yeo, Jong Seung Kim, Sam Hyun Kwon, Eun Jung Lee, Min Hee Lee, Su Geun Kim, Yeon Seok You, June Sun Kim, Jong Hwan Lee, Ji Seob Ryu
RATIONALE: Mucormycosis is a rare fungal infection which mainly develops in compromised hosts and the associated mortality rate is high. PATIENT CONCERNS: We report a case of mucormycosis in a 59-year-old woman following routine endoscopic sinus surgery. The patient had a history of diabetes mellitus (DM) and bronchial asthma. DIAGNOSES: On follow-up 4 weeks after the first functional endoscopic sinus surgery (FESS), she complained of a severe headache and was readmitted for a second period...
December 2018: Medicine (Baltimore)
Brandon K Nguyen, Nirali M Patel, Khashayar Arianpour, Peter F Svider, Adam J Folbe, Wayne D Hsueh, Jean Anderson Eloy
BACKGROUND: Paragangliomas of the nasal cavity and paranasal sinuses, although exceedingly rare, can exhibit frequent and aggressive recurrences. Our objective was to evaluate tumor characteristics, clinical course, management, and associated complications of sinonasal paragangliomas METHODS: A systematic review of the literature was performed utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, searching for sinonasal paraganglioma. Studies meeting inclusion criteria were assessed for level of evidence...
December 20, 2018: International Forum of Allergy & Rhinology
Charles A Riley, Abtin Tabaee, Lindsey Conley, Muhamad Amine, Christian P Soneru, Vijay K Anand, Theodore H Schwartz
OBJECTIVES: The utilization of the nasoseptal flap (NSF) in endoscopic anterior skull base surgery (EASB) has resulted in reduced rates of postoperative cerebrospinal fluid leak (CSF). The long-term impact on sinonasal function after surgery remains incompletely defined. METHODS: A consecutive series of patients undergoing EASB with NSF and with at least 3 years follow-up was prospectively evaluated. Patient demographics, pre- and postoperative Sino-nasal Outcome Test-22 (SNOT-22) scores, Lund-Mackay scores (LMS), CSF leak, and sinonasal complications were analyzed...
December 19, 2018: Laryngoscope
Luis Macias-Valle, Andres Finkelstein-Kulka, Jamil Manji, Christopher Okpaleke, Salahuddin Al-Salihi, Amin R Javer
Objectives: Despite many publications describing sheep models for functional endoscopic sinus surgery (FESS) procedures, accurate endoscopic anatomical studies are lacking. There are no publications correlating computed tomography (CT) and 3D models with endoscopic anatomical descriptions. This study evaluates and describes the endoscopic anatomy of a sheep model. Methods: Ten live sheep (20-sides) were included. Two cadaveric specimens, imaged using thin slice CT for 3D reconstruction correlation were also included...
December 2018: World Journal of Otorhinolaryngology—Head and Neck Surgery
Y Liu, A H Yan
Objective: To explore the application of lung function and exhaled nitric oxide in the evaluation of patients with chronic rhinosinusitis(CRS) with or without polyps who denied bronchial asthma history and planned to undergo endoscopic sinus surgery. Method: Two hundred and thirty-two patients with CRS during April 2016 to April 2018 in our hospital were recruited in this study. All patients accepted lung function and exhaled nitric oxide test before surgery to evaluate whether accompanied with asthma, improvements after standardized drug therapy in patients with asthma...
December 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
Yue Ma, Josh Zeiger, Sean McKee, Anthony Yang, Madeleine Schaberg, Anthony Del-Signore, Satish Govindaraj, Alfred Iloreta
BACKGROUND: Current delivery of patient education is done during the clinic visit, where physicians or clinic staff have limited time for each patient. One potential solution is to provide a multimedia surgical care tour delivered to patients throughout the perioperative period. The purpose of the study is to evaluate the effectiveness of this surgical care tour in enhancing patient knowledge and satisfaction after functional endoscopic sinus surgery (FESS). METHODS: A total of 121 patients were enrolled and a double-blinded randomized controlled trial was initiated...
December 13, 2018: International Forum of Allergy & Rhinology
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