Olfaction and Endoscopic Sinus Surgery

1994 ◽  
Vol 73 (8) ◽  
pp. 548-552 ◽  
Author(s):  
Bruce W. Jafek ◽  
Bruce Murrow ◽  
Edward W. Johnson
Keyword(s):  
Standardized Testing ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Olfactory Dysfunction ◽  
Sinus Surgery ◽  
Endoscopic Evaluation ◽  
Olfactory Pathways ◽  
Olfactory Acuity ◽  
Recent Advances ◽  
Nose And Paranasal Sinuses

Recent advances in endoscopic evaluation of the nose and paranasal sinuses and endoscopic sinus surgery, coupled with the development of standardized testing of olfactory acuity, have permitted improved correction of olfactory dysfunction. Conversely, increase in the number of operations performed has increased the number of injuries to the olfactory pathways. The mechanisms of loss and potential preventive and corrective measures are reviewed with a goal to minimize the numbers of these complications.

Tele-3-Dimensional Computer-Assisted Functional Endoscopic Sinus Surgery: New Dimension in the Surgery of the Nose and Paranasal Sinuses

2002 ◽  
Vol 127 (6) ◽  
pp. 549-557 ◽  
Author(s):  
Ivica Klapan ◽  
Ljubimko Šimičić ◽  
Ranko Rišavi ◽  
Nada Bešenski ◽  
Karlo Pasarić ◽  
...  
Keyword(s):  
Operating Room ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Optimal Path ◽  
3D Models ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Computer Assisted ◽  
3 Dimensional ◽  
Nose And Paranasal Sinuses

One of the main objectives of our 3-dimensional (3D) computer-assisted functional endoscopic sinus surgery was to design a computer-assisted 3D approach to the presurgical planning, intraoperative guidance, and postoperative analysis of the anatomic regions of the nose and paranasal sinuses. Such an extremely powerful approach should allow better insight into the operating field, thereby significantly increasing the safety of the procedure. The last step to implementing the technology in the operating room was to connect the computer workstations and video equipment to remote locations by using a high-speed, wide-bandwidth computer network. During patient preparation, the surgeon in the operating room consulted remote experienced and skillful surgeons by viewing CT images and 3D models on computer workstations. The surgeon and consultants used software for CT image previews and 3D model manipulations on top of collaboration tools to define the pathosis, produce an optimal path to the pathosis, and decide how to perform the real surgical procedure. With tele-flythrough or tele-virtual endoscopy rendered through the use of 3D models, both surgeons can preview all the characteristics of the region (ie, anatomy, pathosis) and so predict and determine the next steps of the operation. This ensures greater safety thanks to the operation guidance and reduces the possibility of intraoperative error. The duration of the teleconsultation is thus shortened, which may prove the greatest benefit of tele-3D computer-assisted surgery. If this method were used, clinical institutions would spend less money for telesurgical consultation.

scholarly journals Towards the Understanding of Sinonasal Anatomical Variations - A Cadaveric Study

2009 ◽  
Vol 2 (3) ◽  
pp. 37-42
Author(s):  
Daisy Sahni ◽  
Rupa Mehta ◽  
Anjali Aggarwal
Keyword(s):  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Indian Population ◽  
Anatomical Variations ◽  
Cadaveric Study ◽  
Sinus Surgery ◽  
Surgical Results ◽  
Anatomic Variations ◽  
North Indian Population ◽  
Nose And Paranasal Sinuses

Abstract A thorough understanding of the sinonasal anatomy is required for the performance of a safe and successful surgery. With the aim to identify the variations in sinonasal anatomy in north Indian population twenty fresh cadaveric heads were dissected by messerklinger technique to identify various sinonasal anatomic variations in north Indian population. The variations in the key landmarks of nose and paranasal sinuses during endoscopic sinus surgery were noted and compared with other studies. Identification and differentiation of the normal and the abnormal sinonasal anatomic variations helps in preventing complications and giving optimum surgical results.

scholarly journals Chronic rhinosinusitis in adult patients with cystic fibrosis: clinical manifestation and therapeutic approaches

2019 ◽  
Vol 29 (3) ◽  
pp. 311-320
Author(s):  
G. L. Shumkova ◽  
E. L. Amelina ◽  
V. M. Svistushkin ◽  
E. V. Sin’kov ◽  
S. A. Krasovskiy ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Surgical Treatment ◽  
Treatment Group ◽  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyps ◽  
Adult Patients ◽  
Sinus Surgery ◽  
Markers Of Inflammation

The aim of this study was to evaluate prevalence of chronic rhinosinusitis (CRS) and nasal polyps in adult patients with cystic fibrosis (CF) in Russian Federation. Additionally, we investigated the clinical course of CRS and developed the optimal therapeutic strategy.Methods. Three hundred and forty eight CF patients were involved in the study. Physical examination, computed tomography (CT) of paranasal sinuses and audiometry, if needed, were used. CRS and bilateral nasal polyps were diagnosed in 28 patients. Nasal endoscopy, SNOT-20 questionnaire, rhinomanometry, micro - biological examination of sputum and mucus from paranasal sinuses (obtained during puncture or surgery), spirometry, and measurement of serum markers of inflammation were used. Endoscopic sinus surgery was used in 14 patients (the group 1) and others were treated non-surgically (the group 2). Both group were treated during 6 months using intranasal mometasone, mucolytics and antibiotics via PARI SINUSTM nebulizer.Results. An improvement in symptoms, CT signs, rhinomanometry parameters and endoscopic signs was seen in both groups after treatment and was more prominent in the surgical treatment group compared to the non-surgical treatment group. Bacterial load reduction in nasal sinuses, decrease in the rate of pulmonary disease exacerbations, and an improvement in oxygen blood saturation were found in the surgical treatment group only. Treatment of CRS did not affect lung function, sputum microbiology and serum inflammatory markers.Conclusion. Endoscopic sinus surgery followed by intranasal mucolytics and antibacterials is an effective and well-tolerated treatment in adult CF patients with CRS. 

Relationship between Olfactory Acuity and Peak Expiratory Flow during Postoperative Follow-up in Chronic Rhinosinusitis Associated with Asthma

2010 ◽  
Vol 119 (11) ◽  
pp. 749-754 ◽  
Author(s):  
Katsuhisa Ikeda ◽  
Hidenori Yokoi ◽  
Takeshi Kusunoki ◽  
Tatuya Saitoh ◽  
Toru Yao ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Peak Expiratory Flow ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Olfactory Acuity ◽  
Smell Test ◽  
Initial Symptoms ◽  
Lower Airways ◽  
Expiratory Flow

Objectives The link between nasal and bronchial disease has been studied extensively for chronic rhinosinusitis and asthma. The concept of “united airway allergy” has become widely accepted in the past decade. We evaluated the relationship between the upper and lower airways during follow-up after endoscopic sinus surgery by monitoring sinonasal and pulmonary functions. Methods Thirty-nine subjects with chronic rhinosinusitis associated with bronchial asthma were entered in this study. A self smell test using stick-type odorant materials was carried out daily to evaluate postoperative recurrence of sinonasal disease. Each patient was assessed for peak expiratory flow (PEF) 3 times daily. Results The average (±SD) scores of initial symptoms were 8.3 ± 2.2, which was significantly decreased to 1.5 ± 1.4 by 3 months after operation. During postoperative follow-up, 25 of 39 patients showed no decrease in PEF, whereas the other 14 patients had at least 1 episode of a significant decline in PEF. In the postoperative course, with respect to the self smell test, 24 patients showed no aggravation of smell, but 15 patients had episode(s) of decreased olfaction. Twelve patients demonstrated worsening on the smell test concomitant with a decreased PEF. A discrepancy between olfactory acuity and pulmonary function was recognized in 5 patients. There were 22 patients with a good prognosis of parameters of both the upper and lower airways. Conclusions Daily monitoring of both upper and lower respiratory tract functions clearly revealed dual relationships, indicating that worsening of sinusitis accompanies asthma exacerbation. Appropriate measures of the upper and lower airways following endoscopic sinus surgery can be used to predict patient outcome.

Paranasal Sinus Mucoceles in Cystic Fibrosis

1993 ◽  
Vol 7 (1) ◽  
pp. 31-35 ◽  
Author(s):  
William E. Davis ◽  
Giulio J. Barbero ◽  
William R. LaMear ◽  
Jerry W. Templer ◽  
Peter Konig
Keyword(s):  
Cystic Fibrosis ◽  
Paranasal Sinus ◽  
Computerized Tomography ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
The Other ◽  
Sinus Surgery ◽  
Lateral Nasal Wall ◽  
Osteomeatal Complex

Six patients between the ages of 6 and 22 years old with cystic fibrosis were found to have mucoceles of the paranasal sinuses. Four were male and two were female. They experienced nasal obstruction, purulent rhinorrhea, and anosmia, but none had fever or pain. Nasal endoscopy and coronal computerized tomography scans revealed the lateral nasal wall to be displaced medially against the septum. Functional endoscopic sinus surgery revealed large cystic spaces filled with thick yellow-green mucus. Postoperatively most patients are able to smell and breathe through their noses. The mucocele probably begins as an obstructed anterior ethmoid cell, which then enlarges and obstructs the osteomeatal complex, which further impairs drainage of the other sinuses into this area.

ʺStomatologyʺ in functional endoscopic sinus surgery – 2 case reports

2018 ◽  
Vol 7 (2) ◽  
pp. 43-47
Author(s):  
Paulina Kołodziejczyk ◽  
Tomasz Gotlib
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Surgery ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Case Reports ◽  
Functional Endoscopic Sinus Surgery ◽  
The Body ◽  
Sinus Surgery ◽  
Facial Region ◽  
Rare Phenomenon

Functional endoscopic sinus surgery (FESS) is most commonly used in chronic rhinosinusitis treatment. This method is also applicable to other diseases, including the treatment of symptomatic ectopic teeth. Ectopic teeth are a quite rare phenomenon. They may appear within the facial region, as well as in other parts of the body. The article describes two cases of ectopic teeth appearing within the nose area and paranasal sinuses, there endoscopic surgery has been used in the extraction, which resulted in the remission of symptoms.

Applied Anatomy of the Paranasal Sinuses with Emphasis on Endoscopic Surgery

1994 ◽  
Vol 103 (4_suppl) ◽  
pp. 3-32 ◽  
Author(s):  
Stephen P. Becker
Keyword(s):  
Endoscopic Surgery ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Structural Changes ◽  
Chronic Sinusitis ◽  
Sinus Surgery ◽  
Serial Sections ◽  
Anatomic Landmarks ◽  
Applied Anatomy

Serial sections of frozen cadaver heads were obtained in the axial, coronal, and sagittal planes. These were analyzed with specific attention to the anatomy of the paranasal sinuses as it pertains to endoscopic sinus surgery. Important anatomic landmarks are pointed out. The use of these landmarks to guide the surgeon through the dissection and to avoid complications is discussed. The resolution of chronic sinusitis is often brought about by the structural changes secondary to endoscopic sinus surgery, and the reasons for this outcome are reviewed.

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