Risk factors for complications of endoscopic sinus surgery for Chronic rhinosinusitis

2019 ◽  
Vol 64 ◽  
pp. S395
Author(s):  
A. Uzokov ◽  
X. Shayhova
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

Risk factors for postoperative bleeding after endoscopic sinus surgery to treat chronic rhinosinusitis

2021 ◽  
Vol 141 (4) ◽  
pp. 392-396
Author(s):  
Xuemei Qin ◽  
Qing Sun ◽  
Guohui Chen ◽  
Jian Liu ◽  
Tianle Gao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Postoperative Bleeding ◽  
Sinus Surgery

Risk factors of recurrent chronic rhinosinusitis after functional endoscopic sinus surgery

2019 ◽  
Vol 21 (2) ◽  
pp. 33
Author(s):  
WaleedAbdullah Mohsenh ◽  
RaneemAbdulaziz Aljthalin ◽  
RaseelAbdulaziz Aljthalin ◽  
Sameer Al-Bahkaly
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

Risk Factors for Complications of Endoscopic Sinus Surgery for Chronic Rhinosinusitis

2012 ◽  
Vol 26 (1) ◽  
pp. 61-64 ◽  
Author(s):  
Daiya Asaka ◽  
Tsuguhisa Nakayama ◽  
Takanori Hama ◽  
Tetsushi Okushi ◽  
Yoshinori Matsuwaki ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

Postoperative Infection Rate and Associated Factors Following Endoscopic Sinus Surgery

2021 ◽  
pp. 000348942110072
Author(s):  
Sharan J. Shah ◽  
Vivian S. Hawn ◽  
Nina Zhu ◽  
Christina H. Fang ◽  
Qi Gao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Chronic Rhinosinusitis ◽  
Infection Rate ◽  
Endoscopic Sinus Surgery ◽  
Postoperative Infection ◽  
Academic Medical Center ◽  
Sinus Surgery ◽  
Multivariate Logistic Regression ◽  
Postoperative Infection Rate

Objectives: There is a paucity of data on postoperative infections after endoscopic sinus surgery and associated risk factors. Our objective was to evaluate a cohort of patients undergoing endoscopic sinus surgery (ESS) for chronic rhinosinusitis to determine which perioperative factors may be associated with infection in the 30-day postoperative period. Methods: A retrospective cohort study of adults who underwent ESS at a tertiary academic medical center from 2015 to 2018 was performed. The primary outcome was incidence of postoperative infection, defined by identification of sinus purulence on nasal endoscopy necessitating antibiotics within 30 days of surgery. Independent variables collated included the result of postoperative cultures and use of perioperative antibiotics, oral corticosteroids, packing, and steroid-eluting stents. Statistical analysis involved bivariate analysis to identify variables that correlated with postoperative infection and subsequent multivariate logistic regression to identify independent risk factors. Results: Three hundred seventy-eight unique ESS cases performed in 356 patients were reviewed. The mean age was 46 years (range, 18-87). The most common indication for surgery was chronic rhinosinusitis without nasal polyposis. The postoperative infection rate was 10.1%. The most commonly cultured pathogen was Staphylococcus aureus. Multivariate logistic regression analysis showed that postoperative systemic corticosteroid use was the only risk factor independently associated with infection (OR 3.47 [95% CI 1.23-9.76], P = .018). Conclusion: The incidence of postoperative infection following ESS was 10.1%. The use of postoperative systemic corticosteroids independently increased the risk of infection by 3.47-fold.

Chronic Rhinosinusitis: Risk Factors for the Recurrence of Chronic Rhinosinusitis Based on 5-Year Follow-Up after Endoscopic Sinus Surgery

2008 ◽  
Vol 146 (1) ◽  
pp. 77-81 ◽  
Author(s):  
Yoshinori Matsuwaki ◽  
Tetsushi Ookushi ◽  
Daiya Asaka ◽  
Eri Mori ◽  
Tsuneya Nakajima ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

scholarly journals Risk Factors of Chronic Rhinosinusitis After Functional Endoscopic Sinus Surgery

2017 ◽  
Vol 23 ◽  
pp. 1064-1068 ◽  
Author(s):  
Feng Juan ◽  
Qukuerhan Ayiheng ◽  
Fan Yuqin ◽  
Zhang Hua ◽  
Yong Jun ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

scholarly journals What is the optimal outcome after endoscopic sinus surgery in the treatment of chronic rhinosinusitis? A consultation of Canadian experts

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Nadim Saydy ◽  
Sami P. Moubayed ◽  
Marie Bussières ◽  
Arif Janjua ◽  
Shaun Kilty ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Patient Reported Outcome ◽  
Sinus Surgery ◽  
Structured Interviews ◽  
Subjective Data ◽  
Operative Outcomes ◽  
Patient Reported ◽  
Definition Of Success ◽  
Reported Data

Abstract Objectives Many experts feel that in the absence of well-defined goals for success, they have an easier time identifying failure. As success ought to not be defined only by absence of failure, we aimed to define optimal outcomes for endoscopic sinus surgery (ESS) in chronic rhinosinusitis (CRS) by obtaining expert surgeon perspectives. Methods A total of 12 surgeons participated in this targeted consultation. Face to face semi-structured interviews were performed with expert surgeons in the field of CRS and ESS. General impressions and personal definitions of acceptable operative success and optimal operative outcomes were compiled and summarized. Results According to an expert survey, patients’ main objectives are an improvement in their chief complain, a general improvement in quality of life (QoL), and a better overall symptomatic control. The most important aspects of endoscopy for defining a successful intervention were an adequate mucus circulation, a healthy mucosa, minimal edema, and patency of all explored cavities or ostia. In the assessment of surgical outcomes, it was determined that both objective and patient reported data must be carefully examined, with more attention given to subjective outcomes. Conclusions According to data gathered from a Canadian expert consultation, a definition of success must be based on both subjective data and nasal endoscopy. We propose to define an acceptable outcome as either a subjective improvement of at least the minimal clinically improvement difference of a validated patient reported outcome questionnaire, along with a satisfactory endoscopic result (1) or a complete subjective resolution with a sub-optimal endoscopy (2). Graphical abstract

Desmopressin effects on bleeding during functional endoscopic sinus surgery on patients with chronic rhinosinusitis

2021 ◽  
pp. 103024
Author(s):  
Fatemeh Hajimohamadi ◽  
Jawad Hosseini ◽  
Farrokh Heidari ◽  
Sepideh Alvandi ◽  
Shahin Bastaninezhad ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

scholarly journals Effects of Age on Recovery of Olfactory Function After Endoscopic Sinus Surgery and Related Risk Factors

2021 ◽  
pp. 014556132110129
Author(s):  
Weiping Qi ◽  
Liang Feng ◽  
Fengyan Yang ◽  
Weihuan Ma
Keyword(s):  
Risk Factors ◽  
Allergic Rhinitis ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyps ◽  
Protective Factor ◽  
Olfactory Function ◽  
Sinus Surgery ◽  
The Poor ◽  
Related Risk ◽  
Good Improvement

Objectives: To study the effects of age on the olfactory function recovery of chronic rhinosinusitis patients after endoscopic sinus surgery and related risk factors. Methods: A total of 176 chronic rhinosinusitis (CRS) patients enrolled from February 2017 to October 2019 were divided into child, youth, middle-aged, and elderly groups. Their baseline data, T&T olfactory test score, visual analogue scale (VAS) olfactory score, sinus computed tomography (CT) Lund-Mackay score, and Lund-Kennedy score were compared. Based on postoperative olfactory function, they were divided into good and poor improvement groups. Results: Complication with nasal polyps, allergic rhinitis history, and sinus surgery history had significant differences among patients of different ages ( P < .05). Three months after surgery, T&T olfactory, VAS olfactory, Lund-Mackay, and Lund-Kennedy scores all rose with increasing age, with significant differences between any 2 groups ( P < .05). The improvement of postoperative olfactory function became poorer with aging ( P < .05). T&T and VAS olfactory scores had significant positive correlations with Lund-Mackay and Lund-Kennedy scores ( P < .001). Age, preoperative Lund-Mackay and Lund-Kennedy scores, complication with nasal polyps, allergic rhinitis history, sinus surgery history, and postoperative complications were risk factors for the poor improvement of postoperative olfactory function. Doctor-directed treatment was a protective factor for good improvement. Conclusions: The improvement of olfactory function of CRS patients after endoscopic sinus surgery declines with aging. Age, preoperative Lund-Mackay and Lund-Kennedy scores, complication with nasal polyps, allergic rhinitis history, sinus surgery history, and postoperative complications are risk factors for the poor improvement of postoperative olfactory function. Doctor-directed treatment is a protective factor for good improvement.

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