scholarly journals Effects of functional endoscopic sinus surgery on chronic rhinosinusitis resistant to medication

2014 ◽  
Vol 128 (11) ◽  
pp. 976-980 ◽  
Author(s):  
H Li ◽  
X Zhang ◽  
Y Song ◽  
T Wang ◽  
G Tan
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Conservative Therapy ◽  
Therapy Group ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Therapeutic Effects ◽  
Post Surgery ◽  
Surgery Group ◽  
Patient Reported

AbstractObjective:To evaluate the therapeutic effects of functional endoscopic sinus surgery in patients with chronic rhinosinusitis who were unresponsive to medical treatment.Methods:A total of 232 patients were divided into 2 groups: a functional endoscopic sinus surgery group (n = 162) and a conservative therapy group (n = 70). Efficacy was assessed in terms of Lund–Kennedy endoscopy scores and Sino-Nasal Outcome Test 20 symptom scores.Results:In the functional endoscopic sinus surgery group, Lund–Kennedy and Sino-Nasal Outcome Test 20 scores were significantly lower at 3, 6 and 12 months post-surgery compared with baseline scores. In the conservative therapy group, both sets of scores were significantly lower at 3 months, but not at 12 months. In this latter group, the Lund–Kennedy scores decreased only slightly and the Sino-Nasal Outcome Test 20 scores significantly decreased at six months compared with initial scores, indicating disparity between the subjective and objective measures. Patient-reported symptom improvement was better in the functional endoscopic sinus surgery group than in the medication group at 12 months (p < 0.001).Conclusion:These findings suggest that functional endoscopic sinus surgery has better efficacy over a longer period compared with conservative therapy.

scholarly journals Rinosinusitis Kronis dengan Komplikasi Abses Periorbita

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Effy Huriyati ◽  
Bestari Jaka Budiman ◽  
Heru Kurniawan Anwar
Keyword(s):  
Physical Examination ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Conservative Therapy ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Computer Tomographic ◽  
Intravenous Antibiotics ◽  
Orbital Region ◽  
Surgery Management

AbstrakAbses periorbita merupakan salah satu komplikasi dari rinosinusitis baik akut ataupun kronis. Beberapa faktor sangat berperan pada penyebab penyebaran rinosinusitis ke orbita. Diagnosis dapat ditegakkan berdasarkan anamnesis, pemeriksaan fisik baik THT ataupun Mata, pemeriksaan nasoendoskopi, pemeriksaan penunjang tomografi komputer dengan gambaran perselubungan pada sinus paranasal dan orbita serta MRI. Penatalaksanaan konservatif berupa pemberian antibiotik intravena spektrum luas dan atau kombinasi, dekongestan serta kortikosteroid. Sedangkan pembedahan dapat melalui pendekatan eksternal atau pendekatan bedah sinus endoskopi fungsional (BSEF). Dilaporkan satu kasus rinosinusitis kronis dengan komplikasi abses periorbita pada laki-laki umur 16 tahun dan telah diberikan terapi konservatif selama 48 jam tetapi tidak ada perbaikan sehingga dilanjutkan dengan pembedahan melalui pendekatan BSEFKata kunci: abses periorbita, rinosinusitis kronis, bedah sinus endoskopiAbstractPeriorbital abscess is a complication of acute or chronic rhinosinusitis. There was some factors can caused the spread of rhinosinusitis into orbital region. Diagnosis can be confirmed by anamnesis, physical examination either ENT department or Opthalmic department, nasoendoscopic, computer tomographic that showed homogenous appearence on the orbital and paranasal sinuses and also MRI. Conservative management with the provision of broad-spectrum and or combination intravenous antibiotics, decongestants and corticosteroid. The surgery management can be performed with esternal approach or functional endoscopic sinus surgery (FESS). One case of chronic rhinosinusitis with complications periorbital abscess in boy aged 16 years old had presented and had given conservative therapy for 48 hours, since there is no improvement, the management then continued with FESS.Keywords: periorbital abscess, chronic rhinosinusitis, endoscopic 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 Antibiotic Use In Patients With Chronic Rhinosinusitis, With and Without Bronchiectasis, After Functional Endoscopic Sinus Surgery

2018 ◽  
Vol 141 (2) ◽  
pp. AB168
Author(s):  
Raul S. Villarreal ◽  
Whitney W. Stevens ◽  
Robert P. Schleimer ◽  
Bruce K. Tan ◽  
Robert C. Kern ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Antibiotic Use ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

Change in symptomatology score after functional endoscopic sinus surgery in cases of chronic rhinosinusitis

2021 ◽  
Vol 11 (41) ◽  
pp. 34-40
Author(s):  
Pragya Rajpurohit ◽  
Ishwar Singh ◽  
Ravi Meher
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Full Range ◽  
Change Score ◽  
Physical Symptoms ◽  
Clinical Encounter ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Percentage Decrease ◽  
Snot 22

Abstract BACKGROUND. Chronic rhinosinusitis (CRS) is one of the most common health problems in adults, which not only causes physical symptoms, but also results in functional and emotional impairment. The aim of the present study was to investigate the effect of functional endoscopic sinus surgery (FESS) on SNOT-22 in cases of chronic rhinosinusitis. MATERIAL AND METHODS. A total of 50 patients, between 18-60 years of age, who had taken treatment for CRS but found no improvement, were enrolled in the study. Before surgery, all patients were asked to fill the SNOT-22 form, the CT score was evaluated, and FESS was performed. A reevaluation with SNOT-22 questionnaire was performed 10 days, 1 and 3 months after surgery. The preoperative and postoperative scores and change score were calculated. RESULTS. The initial preoperative mean score was 39.96±13.41. The percentage decrease in symptom score on the 10th day, the first and third month postoperatively was 42%, 74% and 91% respectively. Males had scored higher as compared to females. There was no correlation between the CT score and SNOT-22 score. Rhinological symptoms scored more than 74% in chronic rhinosinusitis cases. CONCLUSION. SNOT-22 can be used in routine clinical practice to inform clinicians about a full range of problems associated with chronic rhinosinusitis. Responses on the instrument can help focus the clinical encounter. It can also aid researchers in assessing the degree and effect of rhinosinusitis on health status, QoL and to measure treatment response.

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
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