Basic Surgical Techniques and Variations of Endoscopic Sinus Surgery

1989 ◽  
Vol 22 (4) ◽  
pp. 713-726 ◽  
Author(s):  
Dale H. Rice
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Surgical Techniques ◽  
Sinus Surgery

Powered Instrumentation in Functional Endoscopic Sinus Surgery II: A Comparative Study

1996 ◽  
Vol 75 (1) ◽  
pp. 42-44 ◽  
Author(s):  
John H. Krouse ◽  
Dewey A. Christmas
Keyword(s):  
Comparative Study ◽  
Endoscopic Sinus Surgery ◽  
Middle Turbinate ◽  
Surgical Techniques ◽  
Postoperative Recovery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Surgical Results ◽  
Standard Techniques

The present paper compares the use of the microdebrider as a form of powered instrumentation for endoscopic sinus surgery with traditional endoscopic surgical techniques. A group of 250 patients undergoing surgery with the microdebrider was compared with a group of 225 patients undergoing traditional procedures in order to evaluate their postoperative recovery, healing, and incidence of complications. The use of the microdebrider demonstrated faster healing with less crusting than standard techniques, as well as decreased bleeding, synechia formation, lateralization of the middle turbinate, and ostial reocclusion. The microdebrider offers excellent surgical results with fewer complications and faster healing than traditional techniques in functional endoscopic sinus surgery.

Outcomes of Septal Perforation Repair With Concurrent Endoscopic Sinus Surgery

2021 ◽  
pp. 019459982098291
Author(s):  
Yassmeen Abdel-Aty ◽  
Rachel B. Cain ◽  
Cullen Taylor ◽  
Michael J. Marino ◽  
Devyani Lal ◽  
...  
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Tertiary Care ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Surgical Patient ◽  
Graft Material ◽  
Septal Perforation ◽  
Mucosal Flap ◽  
Interposition Graft

Objective This study reviews a cohort of patients in whom septal perforation repair was performed concurrently with endoscopic sinus surgery. We present an endonasal perforation repair technique using bilateral mucosal flaps with an autogenous interposition graft. Intraoperative and postoperative management of the combined surgical patient is discussed and perforation closure outcomes are reported. Study Design Case series. Setting Tertiary care center. Methods In this institutional review board–approved retrospective chart review, adult patients who underwent concurrent bilateral mucosal flap septal perforation repair and endoscopic sinus surgery from March 1992 to March 2020 were identified. Data on demographics, clinical presentations, perforation size, surgical techniques, and outcomes were extracted and analyzed for patients with a minimum of 3 months of follow-up. Results Fifty-six patients met study inclusion criteria. Nasal obstruction/congestion was the most frequent symptom reported (80.4%), followed by crusting and epistaxis. Mean perforation size measured at the time of surgery was 14.7 (range, 3-41) mm in length by 9.3 (range, 2-23) mm in height. Temporalis fascia was the most frequent (57.9%) interposition graft material used. Complete perforation closure at the time of the last follow-up was noted in 51 (91.1%) patients. Only 1 failure was noted in the last 48 attempted repairs. Conclusion Patients with a perforated septum may have coexistent chronic sinusitis. The feasibility of attempting concurrent sinus surgery and perforation repair has been questioned. Our review demonstrates a high perforation closure rate when a bilateral mucosal flap procedure is performed after sinus surgery is performed at the same setting.

scholarly journals Endoscopic Dacryocystorhinostomy

2013 ◽  
Vol 6 (2) ◽  
pp. 67-74 ◽  
Author(s):  
E. Bradley Strong
Keyword(s):  
20Th Century ◽  
Endoscopic Sinus Surgery ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Nasal Endoscopy ◽  
Early 20Th Century ◽  
Endoscopic Dacryocystorhinostomy ◽  
Lacrimal System ◽  
Transnasal Endoscopic Approach ◽  
External Dacryocystorhinostomy

External dacryocystorhinostomy was described in early 20th century. The introduction of nasal endoscopy and endoscopic sinus surgery in the 1980s paved the way for a transnasal endoscopic approach to lacrimal system. This article will review the indications and surgical techniques used for endoscopic dacryocystorhinostomy.

Scarring in Endoscopic Ethmoidectomy

1994 ◽  
Vol 8 (6) ◽  
pp. 271-274 ◽  
Author(s):  
Ralph E. Gaskins
Keyword(s):  
Retrospective Analysis ◽  
Revision Surgery ◽  
Endoscopic Sinus Surgery ◽  
Middle Turbinate ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Postoperative Adhesions ◽  
Frequent Complication ◽  
Subsequent Revision

The formation of postoperative adhesions is perhaps the most frequent complication of endoscopic sinus surgery: These incidents may vary from trivial, small strands of scar to serious obstructive situations that mandate further surgery. This study is a retrospective analysis of 970 endoscopic ethmoidectomies performed in 535 patients over a 5-year period and followed by a single surgeon. Postoperative follow-up ranged from 6 to 70 months. The overall incidence of postoperative adhesions of all types was 10.5% and involving 102 cases. Of these, 40 cases (4.1%) of the total required subsequent revision surgery due to obstructive scarring. Further analysis is presented, showing the effects of various surgical techniques on the development of adhesions. The incidence of postsurgical lateral adhesion of the middle turbinate was reduced in this series in procedures that incorporated partial middle turbinate resection.

Indications of the Caldwell-Luc procedure in the era of endoscopic sinus surgery

2020 ◽  
Vol 10 (39) ◽  
pp. 78-84
Author(s):  
Andreea Bajan ◽  
Codrut Sarafoleanu ◽  
Violeta-Gabriela Melinte ◽  
Roxana Decuseara
Keyword(s):  
Maxillary Sinus ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Malignant Tumors ◽  
Surgical Techniques ◽  
Lateral Wall ◽  
Sinus Surgery ◽  
Maxillary Artery ◽  
Vidian Canal

AbstractSurgical treatment of chronic rhinosinusitis is indicated after failure of correctly conducted maximal drug therapy or the occurrence of complications. Radical maxillary sinus surgery has been abandoned nowadays, to the detriment of endoscopic sinus surgery, for several reasons, such as: increased incidence of complications, decreased healing rate compared to the endoscopic technique. The literature cites many situations in which the Caldwell-Luc procedure is used as a first-line surgical technique: recurrent chronic rhinosinusitis, malignant tumors of the maxillary sinus extending to the lateral wall of the nasal fossa and the pterygomaxillary space, the cases where an extensive approach to the pterygopalatine fossa is required – for ligation of the internal maxillary artery or the approach of the vidian canal in vidian neurectomy.The authors highlight the use of Caldwell-Luc procedure in endoscopic sinus surgery era, by reviewing the complications rates, indications and long-term effectiveness of the two surgical techniques.

Endoscopic septoplasty: literature review, surgical techniques and retrospective analysis at the University Hospitals Leuven

2019 ◽  
Vol 133 (4) ◽  
pp. 262-268 ◽  
Author(s):  
S Vandenbroeck ◽  
M Jorissen
Keyword(s):  
Literature Review ◽  
Endoscopic Sinus Surgery ◽  
Relevant Literature ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Complication Rates ◽  
University Hospitals ◽  
Deviated Nasal Septum ◽  
Endoscopic Septoplasty ◽  
The University

AbstractBackgroundEndoscopic septoplasty is an alternative approach for a deviated nasal septum. Since its introduction, numerous techniques have been developed, each with its own advantages and limitations. A literature review is presented, along with our experience with endoscopic spur resection.MethodsThe Medline and Google Scholar databases were searched for relevant literature, and the records of all patients undergoing endoscopic spur resection at the University Hospitals Leuven between 2001 and 2015 were reviewed.Results and conclusionEndoscopic septoplasty offers improved visualisation and the option of limited flap dissection, which are particularly helpful when dealing with isolated spurs, posterior deviations and revision septoplasty. It enhances teaching and improves surgical transition to endoscopic sinus surgery. Reported success and complication rates are comparable to those seen in traditional approaches. Endoscopic spur resection, as conducted at the University Hospitals Leuven, was shown to be a quick, safe and efficient technique when dealing with isolated septal spurs, especially when combined with endoscopic sinus surgery.

scholarly journals Endoscopic sinus surgery training courses: Benefit and problems – a multicenter evaluation

2021 ◽  
Author(s):  
Boon Han Kevin Ng ◽  
Ing Ping Tang ◽  
Prepageran Narayanan ◽  
Andreas Leunig
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Training Material ◽  
Surgery Training ◽  
The United Kingdom ◽  
Training Courses ◽  
Almost All ◽  
A Prospective Study ◽  
Structured Questionnaire

Introduction: Dissection courses are important for trainees and surgeons in mastering the skills required to perform endoscopic sinus surgery (ESS) which is a common surgery in otorhinolaryngology. Aim: To evaluate the benefits of ESS training courses and ways to improve training. Material and methods: In a prospective study using a structured questionnaire, participants of ESS courses in the United Kingdom, Malaysia, India and Thailand were asked on their experiences in these courses and suggestions on improving them. Results and discussion: The majority of the participants have experiences in performing ESS prior to joining the course. Infundibulotomy was considered the easiest dissection step in ESS while frontal sinus surgery was considered the most challenging by the majority of the participants. The motivation for most of the participants in joining the course is to improve their skills with almost all stating that their expectations of the course have been fulfilled with improvement of their surgical techniques, anatomical skills and on patient’s safety. Almost all the participants were satisfied with the course and would recommend attending it. Conclusions: ESS dissection courses are an integral part in the learning process of trainees in becoming a competent surgeon and for surgeons to improve their techniques. Continuous improvement should be made to ensure that the participants will benefit from attending the course.

Paranasal Sinus Mucoceles: Modern Management

1995 ◽  
Vol 9 (5) ◽  
pp. 251-258 ◽  
Author(s):  
Nigel J.P. Beasley ◽  
Nicholas S. Jones
Keyword(s):  
Paranasal Sinus ◽  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Surgical Techniques ◽  
The Other ◽  
Diagnostic Radiology ◽  
Sinus Surgery ◽  
External Approach ◽  
Radiological Findings

As a result of the introduction of endoscopic sinus surgery, together with improvements in diagnostic radiology, it is now possible to marsupialize the majority of paranasal sinus mucoceles. We present a review of our management of 34 consecutive mucoceles, of which 22 were approached endoscopically. We discuss the presenting features and radiological findings in these patients, and the surgical techniques employed. At review, two patients have had a recurrence; both had previously had drainage of their mucocele by an external approach. One was then managed by further external surgery and the other endoscopically. There were no significant complications following endoscopic surgery with a follow-up of 6 months to 3 years. We suggest what should be the contraindications to an endoscopic approach.

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