Endoscopic sinus surgery for antrochoanal polyp using CO2 laser and/or microresector: a long–term result

2005 ◽  
Vol 119 (5) ◽  
pp. 362-365 ◽  
Author(s):  
Kiminori Sato ◽  
Tadashi Nakashima
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Inferior Turbinate ◽  
Sinus Surgery ◽  
Antrochoanal Polyp ◽  
Secondary Surgery ◽  
Primary Surgery ◽  
Long Term Result ◽  
Long Term Follow Up

Endoscopic sinus surgery procedure using CO2 laser and/or microresector for paediatric and adult chronic sinusitis with antrochoanal polyp (ACP), with long-term follow-up, was examined. Twelve children and 13 adults underwent the surgical procedure.The following two techniques were used to remove the antral portion of an ACP with a 70°endoscope:(1) CO2 laser – The base of the ACP was vaporized and removed via an enlarged natural ostium with a pipe-guide handpiece with a deflective tip.(2) Microresector – The ACP was resected via an enlarged natural ostium and/or nasoantral window opened under the inferior turbinate with the curved and straight blade of a microresector.In the endoscopic follow up for 10 to 57 months, no patient who underwent the primary surgery required reoperation for ACP recurrence. One out of the seven patients who underwent secondary surgery required a revised operation with microresector and CO2 laser.

Long-Term Effects of FloSeal™ Packing After Endoscopic Sinus Surgery

2005 ◽  
Vol 19 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Rakesh K. Chandra ◽  
David B. Conley ◽  
G. Kenneth Haines ◽  
Robert C. Kern
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Scar Tissue ◽  
Sinus Surgery ◽  
Tissue Formation ◽  
Long Term Effects ◽  
Study Evaluation ◽  
Long Term Follow Up ◽  
The Mean

Background A previous study by our group showed increased adhesions and granulation tissue in ethmoid cavities packed with FloSeal (FS) compared with those packed with thrombin-soaked gelatin foam after endoscopic sinus surgery (ESS). That study included 20 patients whose cavities were graded 6–8 weeks postoperatively. The goal of this study was to report long-term follow-up on this cohort. Methods At least 1 year follow-up was available in 18/20 patients. The number of office procedures required to lyse adhesions during the follow-up period was tabulated also. Pathology was available from one patient who underwent lysis of adhesions on an FS side. The histopathological findings are presented. Results The mean follow-up period was 21.4 (±2.3) months, and none of the 18 patients required revision ESS during this interval. The overall incidence of adhesions (p = 0.013) and the number requiring lysis of adhesions (p = 0.046) were both greater in the FS group. During the interval between previous study evaluation (6–8 weeks postop) and last follow-up, five FS sides required a total of seven procedures to lyse adhesions. Silent adhesions were observed in an additional five FS sides. Although asymptomatic adhesions were observed in two thrombin-soaked gelatin sides at last examination, none underwent lysis. Biopsy of an adhesion from a patient packed with FS 25 months earlier revealed incorporated foreign material. Conclusion FS appears to be associated with scar tissue formation and may be incorporated into recovering mucosa. Use of FS may increase the degree of postoperative care required after ESS.

Does Olfaction Improve After Endoscopic Sinus Surgery?

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P74-P74
Author(s):  
Jamie R. Litvack ◽  
Jess Collin Mace ◽  
Timothy L Smith
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Linear Regression Analysis ◽  
Olfactory Dysfunction ◽  
Sinus Surgery ◽  
Multivariate Linear Regression Analysis ◽  
Co Morbidity ◽  
Long Term Follow Up ◽  
The Impact

Objective No large, prospective, multi-institutional cohort studies have objectively examined the impact of surgery on olfaction with long-term follow-up. The aim of this study was to objectively examine the impact of endoscopic sinus surgery (ESS) on olfactory dysfunction (hyposmia) would benefit from ESS, whereas patients with severe olfactory dysfunction (anosmia) would not. Methods In this prospective, multi-institutional cohort study, 111 patients presenting for ESS for treatment of CRS were examined pre-operatively and at 6 and 12 months postoperatively. Demographic, co-morbidity and Smell Identification Test (SIT) data were collected at each time point. Univariate and multivariate analyses were performed. Results The prevalence of gender-adjusted olfactory dysfunction prior to surgery was 67.5%: 50.4% of patients were hyposmic and 17.1% were anosmic. Surprisingly, hyposmic patients did not significantly improve after surgery (baseline, 6 month, 12 month mean SIT scores: 28.8, 30.0, 29.5). In contrast, patients with anosmia significantly improved after ESS (baseline, 6 month, 12 month mean SIT scores: 9.3, 21.3, 21.7; p=0.001); furthermore, improvement was sustained at 12-month follow-up (p=0.001). Multivariate linear regression analysis showed that baseline olfactory category and nasal polyposis were significantly associated with improvement in postoperative olfactory function (p=0.035, p=0.002), whereas age, gender, and disease-severity as measured by CT and endoscopy scores were not. Conclusions Contrary to our hypothesis, patients with severe olfactory dysfunction significantly improved after ESS and sustained improvement over time, whereas patients with mild olfactory dysfunction did not.

scholarly journals The Effect of Long-Term Follow up on Outcome of Pediatric Endoscopic Sinus Surgery

2019 ◽  
Vol 26 (1) ◽  
pp. 32
Author(s):  
Sanghyub Kim ◽  
Young-Jun Chung ◽  
Ji-Hun Mo
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Long Term Follow Up

scholarly journals Long-Term Follow-Up After Maxillary Sinus Balloon Sinuplasty and ESS

2021 ◽  
pp. 014556132098603
Author(s):  
Anni Koskinen ◽  
Marie Lundberg ◽  
Markus Lilja ◽  
Jyri Myller ◽  
Matti Penttilä ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Revision Surgery ◽  
University Hospital ◽  
Sinus Surgery ◽  
Control Group ◽  
University Hospitals ◽  
Balloon Sinuplasty ◽  
Long Term Follow Up

Objectives: The aim of this controlled follow-up study was to compare the need for revision surgery, long-term efficacy, and satisfaction in chronic rhinosinusitis patients who had undergone maxillary sinus operation with either balloon sinuplasty or traditional endoscopic sinus surgery (ESS) technique. Methods: Thirty-nine ESS patients and 36 balloon patients of our previously described cohort, who had been primarily operated in 2008 to 2010, were contacted by phone. Symptoms, satisfaction, and need for revision surgery were asked. In addition, we collected data of patients who had undergone primary maxillary sinus balloon sinuplasty in the Helsinki University Hospital during the years 2005 to 2019. As a control group, we collected data of patients who had undergone primary maxillary sinus ESS at 3 Finnish University Hospitals, and 1 Central Hospital in years 2005, 2008, and 2011. Results: Altogether, 77 balloon patients and 82 ESS patients were included. The mean follow-up time was 5.3 years in balloon group and 9.8 years in ESS group. Revision surgery was performed on 17 balloon patients and 6 ESS patients. In the survival analysis, the balloon sinuplasty associated significantly with a higher risk of revision surgery compared to ESS. According to the phone interviews, 82% of ESS patients and 75% of balloon patients were very satisfied with the primary operation. Conclusion: Although the patient groups expressed equal satisfaction and change in symptoms after the operations, the need for revision surgery was higher after balloon sinuplasty than after ESS. This should be emphasized when counselling patients regarding surgical options.

Argon Plasma Surgery for Treatment of Inferior Turbinate Hypertrophy: A Long-Term Follow-Up in 157 Patients

ORL ◽  
2003 ◽  
Vol 65 (4) ◽  
pp. 206-210 ◽  
Author(s):  
E. Ferri ◽  
E. Armato ◽  
S. Cavaleri ◽  
P. Capuzzo ◽  
F. Ianniello
Keyword(s):  
Argon Plasma ◽  
Inferior Turbinate ◽  
Turbinate Hypertrophy ◽  
Long Term Follow Up ◽  
Inferior Turbinate Hypertrophy

scholarly journals Results of the Puti-Platt Operation for Recurrent Anterior Dislocation of the Shoulder

2013 ◽  
Vol 9 (1-2) ◽  
pp. 51-57
Author(s):  
MS Islam ◽  
RR Kairy ◽  
M Islam ◽  
RM Manzur ◽  
NF Islam
Keyword(s):  
Operative Procedure ◽  
Anterior Dislocation ◽  
Prospective Clinical Study ◽  
Active Muscle ◽  
Tissue Handling ◽  
Long Term Result ◽  
Long Term Follow Up ◽  
Recurrent Anterior Dislocation

This was a prospective clinical trial carried out at NITOR, Dhaka from July 2004 to June 2006 involving 18 patients with recurrent anterior dislocation of the shoulder. All the cases were managed by Putti-Platt operative procedure. The aim of this study was to evaluate the effectiveness of the Putti-Platt procedure in the management of recurrent anterior dislocation of the shoulder. In this study, purposing sampling methods were followed irrespective of sex. Most common age group in this series was 21-30 years. This prospective clinical study comprised with 18 patients, 16 cases (88.88%) showed excellent and good results and 2 cases (11.11%) showed fair results. Therefore, Putti-Platt procedure can be considered as an effective procedure in the treatment of recurrent anterior dislocation of shoulder. Less tissue handling, close postoperative follow-up and active muscle exercise is essential for producing good result. The long-term result is beyond the scope of this study. Long-term follow up is needed to evaluate the final out come of these patients. DOI: http://dx.doi.org/10.3329/jsf.v9i1-2.14647 J. Sci. Foundation, 9(1&2): 51-57, June-December 2011

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