Endoscopic sinus surgery in children with chronic sinusitis: A pilot study

A variety of surgical approaches exists for the management of nasal septal spurs in patients who undergo endoscopic sinus surgery (ESS). Treatment of septal spurs in the past has been frequently addressed by septoplasty which can result in increased bleeding and length of surgical procedure as well as mandate postoperative nasal packing. Individually each of these problems can jeopardize the success of endoscopic sinus surgery. An endoscopic approach, which targets the septal spur alone, can minimize perioperative morbidity. The purpose of this paper is to demonstrate the effectiveness of endoscopic septal spur resection (ESSR) for the management of significant septal spurs in 8 patients who underwent concurrent ESSR during ESS for chronic sinusitis. Surgical technique and postoperative results are discussed and suggest that ESSR is a valuable alternative to more traditional techniques.

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The Effect Of Functional Endoscopic Sinus Surgery On Lung Function In Patients With Chronic Sinusitis And Nasal Polyps Without Asthma

ENT Updates ◽

10.32448/entupdates.459007 ◽

2018 ◽

pp. 93-99

Author(s):

Metin Yıldırım ◽

Seyda Belli ◽

Cemal Ozyilmaz ◽

Ozcan Ogurlu

Keyword(s):

Lung Function ◽

Endoscopic Sinus Surgery ◽

Nasal Polyps ◽

Chronic Sinusitis ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery

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Correlations and Comparison between Repeat Computed Tomography Scores, Endoscopy Scores and Symptomatic Improvement before and after Endoscopic Sinus Surgery: A Pilot Study

Clinical Rhinology An International Journal ◽

10.5005/jp-journals-10013-1145 ◽

2013 ◽

Vol 6 (1) ◽

pp. 32-40 ◽

Cited By ~ 3

Author(s):

NV Deepthi ◽

Indudharan R Menon

Keyword(s):

Computed Tomography ◽

Pilot Study ◽

Endoscopic Sinus Surgery ◽

Medical Center ◽

Tertiary Care ◽

Objective Evaluation ◽

Symptomatic Improvement ◽

Sinus Surgery ◽

Tertiary Care Medical Center ◽

Before And After

ABSTRACT Background Chronic rhinosinusitis (CRS) is diagnosed on the basis of symptoms, nasal endoscopic findings and computed tomography of the paranasal sinuses (CT PNS). Where indicated, functional endoscopic sinus surgery (FESS) is the surgical treatment. Objective To determine correlations between subjective symptom severity and objective endoscopic and radiologic findings in CRS and to compare these before and after FESS. Materials and methods Analysis of prospectively collected data of 20 patients undergoing FESS at a tertiary care medical center followed up for a minimum period of 6 months after surgery. RSI questionnaire-based symptom score, Lund-Mackay system-based endoscopic and CT finding scores were recorded preoperatively and at 8 weeks and 6 months postoperatively. Results Significant positive correlation was noted between the three parameters before surgery, especially endoscopic and radiological scores (r = 0.94 in the latter, p < 0.01 in all three). Postoperative improvement was statistically significant for all three parameters, even at the 6 months stage (p < 0.001). Postoperative correlations reduced significantly, especially between endoscopic and radiological scores. Conclusion This study showed the relevance of objective evaluation of routine parameters of CRS, preoperatively. It also confirmed the usefulness of FESS in indicated cases, in terms of statistical improvement of these parameters. However, repeat CT scans and the methods of scoring used by us may not be equally applicable in the long-term postoperative scenario. How to cite this article Deepthi NV, Menon UK, Menon IR. Correlations and Comparison between Repeat Computed Tomography Scores, Endoscopy Scores and Symptomatic Improvement before and after Endoscopic Sinus Surgery: A Pilot Study. Clin Rhinol An Int J 2013;6(1):32-40.

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Functional endoscopic sinus surgery- a newer surgical concept in the management of chronic sinusitis

Indian Journal of Otolaryngology and Head & Neck Surgery ◽

10.1007/bf02996424 ◽

1999 ◽

Vol 52 (1) ◽

pp. 13-16

Author(s):

V. P. Venkatachalam ◽

Arun Bhat

Keyword(s):

Endoscopic Sinus Surgery ◽

Chronic Sinusitis ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery

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Pre- and Postoperative Mucociliary Clearance in Functional Endoscopic Sinus Surgery

Ear Nose & Throat Journal ◽

10.1177/014556139707601211 ◽

1997 ◽

Vol 76 (12) ◽

pp. 884-886 ◽

Cited By ~ 21

Author(s):

Shashikant K. Kaluskar

Keyword(s):

Endoscopic Sinus Surgery ◽

Chronic Sinusitis ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Controlled Study ◽

Symptom Profile ◽

Before And After ◽

Prospective Controlled Study ◽

Results Of Surgery ◽

Nose And Sinuses

The advent of functional endoscopic sinus surgery (FESS) has revolutionized the treatment of chronic sinusitis over the last decade. Although it has been well-established that FESS is more efficacious than conventional surgery, the lack of a quantifiable means of assessing results remains one of the major shortcomings of the technique, and hence a source of criticism. Since the pathophysiology of chronic sinusitis is intimately related to the mucociliary mechanism of the nose and sinuses, it seems logical to use this parameter as a yardstick of success. We undertook a prospective, controlled study of 40 patients and measured their “saccharin times” before and after surgery. The results show a marked reduction in clearance times postoperatively, corresponding well with improvement in symptom profile. We therefore propose this technique as a simple, safe and reliable method of assessing the results of surgery. Furthermore, the method could act as a preoperative indicator of ciliary motility disorders, as the prognosis in these patients is distinctly poor.

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Functional Endoscopic Sinus Surgery in Patients with Chronic Sinusitis and Asthma

Otolaryngology ◽

10.1177/019459989411000604 ◽

1994 ◽

Vol 110 (6) ◽

pp. 494-500 ◽

Cited By ~ 38

Author(s):

Gary J. Nishoka ◽

Paul R. Cook ◽

William E. Davis ◽

Joel P. McKinsey

Keyword(s):

Endoscopic Sinus Surgery ◽

Hospital Admissions ◽

Chronic Sinusitis ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Office Visits ◽

Sinus Disease ◽

Physician Office ◽

Steroid Dependent ◽

The Impact

Twenty asthma patients who underwent functional endoscopic sinus surgery for chronic sinusitis were studied. Medical records and questionnaire data for these 20 patients were studied regarding the Impact of sinus disease and functional endoscopic sinus surgery on their asthma. We found that 95% reported that their asthma was worsened by their sinus disease (95% confidence interval, 0.74 to 0.99+), and 85% reported that functional endoscopic sinus surgery improved their asthma (0.60 to 0.97). Of the 13 patients who used both inhalers and systemic medication, 53.8% were able to eliminate some of their medication (0.21 to 0.79). Furthermore, 61.5% of these patients had a concomitant reduction in their inhaler use (0.28 to 0.85). All patients (six) who used only inhalers experienced a reduction in their inhaler use (0.54 to 1.00), and two patients were able to eliminate their inhalers completely. One of two patients who were steroid dependent was able to discontinue steroids after surgery. Of patients who used steroids intermittently (13), 53.8% were able to eliminate the use of steroids after surgery (0.21 to 0.79). Patients who required preoperative hospital admissions (4) and emergency room or urgent physician office visits (18) had a 75.0% and 81.3% ( p < 0.001) reduction in visits, respectively, after surgery. Because 43% of the cost of asthma is the result of hospitalizations and emergency department/urgent physician office visits, a significant Impact on health care costs can be realized with functional endoscopic sinus surgery in this patient population.

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Efficacy of Endoscopic Sinus Surgery in the Management of Patients with Asthma and Chronic Sinusitis

American Journal of Rhinology ◽

10.2500/105065801781329400 ◽

2001 ◽

Vol 15 (1) ◽

pp. 49-53 ◽

Cited By ~ 39

Author(s):

James N. Palmer ◽

David B. Conley ◽

Ronald G. Dong ◽

Anne M. Ditto ◽

Paul R. Yarnold ◽

...

Keyword(s):

Endoscopic Sinus Surgery ◽

Chronic Sinusitis ◽

Sinus Surgery

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Clinical Efficacy of Endoscopic Sinus Surgery for Chronic Sinusitis.

Practica Oto-Rhino-Laryngologica ◽

10.5631/jibirin.95.719 ◽

2002 ◽

Vol 95 (7) ◽

pp. 719-724

Author(s):

Naoki OTSUKI ◽

Kazuo KUMOI ◽

Yasuji TERAMOTO

Keyword(s):

Clinical Efficacy ◽

Endoscopic Sinus Surgery ◽

Chronic Sinusitis ◽

Sinus Surgery

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Immunotherapy in Patients Undergoing Functional Endoscopic Sinus Surgery

Otolaryngology ◽

10.1177/019459989411000410 ◽

1994 ◽

Vol 110 (4) ◽

pp. 406-412 ◽

Cited By ~ 71

Author(s):

Gary J. Nishioka ◽

Paul R. Cook ◽

William E. Davis ◽

Joel P. McKinsey

Keyword(s):

Endoscopic Sinus Surgery ◽

Chronic Sinusitis ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Outcome Parameters ◽

Allergic Symptoms ◽

Polyp Recurrence ◽

Better Than

A total of 283 consecutive patients with chronic sinusitis underwent functional endoscopic sinus surgery. There were 72 allergic patients and 211 nonallergic patients. Data were collected on the effect of immunotherapy on middle meatotomy patency, synechiae formation, and recurrent polyps in allergic patients. Data supported the following conclusions: (1) Immunotherapy given either before or after surgery does not statistically influence middle meatotomy patency, synechiae formation, or recurrence of polyps after functional endoscopic sinus surgery. However, the data do suggest, for all three outcome parameters, that allergic patients who undergo immunotherapy do better than those who do not undergo immunotherapy and, with the exception of recurrent polyps, do as well as nonallergic patients. (2) The prevalence of preoperative polyps is the same for allergic and nonallergic patients in this study, but polyp recurrence is higher in allergic patients. (3) Approximately 40% of allergic patients who began preoperative immunotherapy stopped immunotherapy after surgery because their allergic symptoms resolved or were minimal. A comment regarding this observation is provided.

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