scholarly journals Six year old with isolated sphenoidal mucocele and ophthalmopathy – a case report

2013 ◽  
Vol 19 (3) ◽  
pp. 166-169
Author(s):  
M. Lupascu ◽  
Gh. I. Comsa
Keyword(s):  
Case Report ◽  
Endoscopic Sinus Surgery ◽  
Sphenoid Sinus ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Late Development ◽  
Sinus Disease ◽  
Life Threatening

Abstract Sphenoid sinus affections in children are very rare occurrences due to the late development of the sinus and treatment may present quite a challenge even to the most skillful surgeon because of the small nasal fossae. Due to the often vague and uncharacteristic symptomatology sphenoid sinus disease is misdiagnosed and the treatment is delayed, sometimes with serious complications that are life threatening if not properly managed. We present the case of a six year old patient with a mucocele affecting an unusually large sphenoid sinus with concomitant Graves-like ophthalmopathy that has been treated through functional endoscopic sinus surgery but also needed prolonged cortisonic treatment.

Functional endoscopic sinus surgery for isolated sphenoid sinus disease

Head & Neck ◽  
1994 ◽  
Vol 16 (5) ◽  
pp. 433-437 ◽  
Author(s):  
Laurent Gilain ◽  
Didier Aidan ◽  
André Coste ◽  
Roger Peynegre
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sphenoid Sinus ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Sinus Disease

Functional Endoscopic Sinus Surgery in Patients with Chronic Sinusitis and Asthma

1994 ◽  
Vol 110 (6) ◽  
pp. 494-500 ◽  
Author(s):  
Gary J. Nishoka ◽  
Paul R. Cook ◽  
William E. Davis ◽  
Joel P. McKinsey
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Hospital Admissions ◽  
Chronic Sinusitis ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Office Visits ◽  
Sinus Disease ◽  
Physician Office ◽  
Steroid Dependent ◽  
The Impact

Twenty asthma patients who underwent functional endoscopic sinus surgery for chronic sinusitis were studied. Medical records and questionnaire data for these 20 patients were studied regarding the Impact of sinus disease and functional endoscopic sinus surgery on their asthma. We found that 95% reported that their asthma was worsened by their sinus disease (95% confidence interval, 0.74 to 0.99+), and 85% reported that functional endoscopic sinus surgery improved their asthma (0.60 to 0.97). Of the 13 patients who used both inhalers and systemic medication, 53.8% were able to eliminate some of their medication (0.21 to 0.79). Furthermore, 61.5% of these patients had a concomitant reduction in their inhaler use (0.28 to 0.85). All patients (six) who used only inhalers experienced a reduction in their inhaler use (0.54 to 1.00), and two patients were able to eliminate their inhalers completely. One of two patients who were steroid dependent was able to discontinue steroids after surgery. Of patients who used steroids intermittently (13), 53.8% were able to eliminate the use of steroids after surgery (0.21 to 0.79). Patients who required preoperative hospital admissions (4) and emergency room or urgent physician office visits (18) had a 75.0% and 81.3% ( p < 0.001) reduction in visits, respectively, after surgery. Because 43% of the cost of asthma is the result of hospitalizations and emergency department/urgent physician office visits, a significant Impact on health care costs can be realized with functional endoscopic sinus surgery in this patient population.

Functional Endoscopic Sinus Surgery in the Immunocompromised Child

1991 ◽  
Vol 105 (6) ◽  
pp. 818-825 ◽  
Author(s):  
Brian J. Wiatrak ◽  
Paul Willging ◽  
Charles M. Myer
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Fatal Outcome ◽  
Chemotherapeutic Agents ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Fungal Sinusitis ◽  
Sinus Disease ◽  
Immunocompromised Child ◽  
Surgical Modality ◽  
Sinonasal Disease

Fungal sinusitis in the immunocompromised child is an aggressive, invasive process that may result in a fatal outcome if not diagnosed early. As a result of increasing use of bone marrow transplantation and new cytotoxic chemotherapeutic agents resulting in severe agranulocytopenia, more patients have become susceptible to fungal sinus disease. Functional endoscopic sinus surgery has emerged recently as an important surgical modality in the treatment of sinus disease in adults and children. Use of this technique in immunosuppressed children has allowed early diagnosis of fungal sinonasal disease, resulting in earlier surgical intervention. The high-quality fiberoptic capability of nasal endoscopes allows very detailed visualization of the internal anatomy of the nose and detects early mucosal changes as a result of intranasal fungal disease. Our experience using functional endoscopic sinus surgery in immunocompromised children over an 18-month period is reviewed. Our philosophy for diagnosis and management of immunocompromised children with suspected fungal sinonasal disease is discussed.

scholarly journals Pneumomediastinum after functional endoscopic sinus surgery under general anesthesia -A case report-

2013 ◽  
Vol 64 (4) ◽  
pp. 367 ◽  
Author(s):  
Jung Man Park ◽  
Young-Chul Park ◽  
Jong Nam Lee ◽  
Jun Seok Bae ◽  
Shin Kyu Kang
Keyword(s):  
Case Report ◽  
General Anesthesia ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

Monitoring of intra-operative visual evoked potentials during functional endoscopic sinus surgery (FESS) under general anaesthesia

1996 ◽  
Vol 110 (1) ◽  
pp. 31-36 ◽  
Author(s):  
S. S. M. Hussain ◽  
H. C. K. Laljee ◽  
J. M. Horrocks ◽  
A. R. H. Grace
Keyword(s):  
Evoked Potentials ◽  
General Anaesthesia ◽  
Visual Evoked Potentials ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Flash Visual Evoked Potentials ◽  
Preliminary Study ◽  
Visual Evoked

AbstractFunctional endoscopic sinus surgery (FESS) is an effective treatment for inflammatory sinus disease. The potential for major complications during FESS is high particularly under general anaesthesia. The most serious of these is injury to the eye leading to blindness. We looked at the feasibility of monitoring flash visual evoked potentials (VEP) simultaneously from both eyes during FESS. Five patients were included in this preliminary study. A haptic contact lens connected by fibreoptic cable to a photostimulator was placed on the eyes and stimulus of comparable intensity to a conventional strobe was delivered. We found that an increase in P100 latency to be an indicator of optic nerve compression. However, for this to be useful the diastolic blood pressure should not fall below 50 mmHg, the oxygen saturation should be maintained at 98 per cent and bleeding should be minimized during surgery. The changes in the amplitude of P100 was not found to be useful.While there is no substitute for learning endoscopic surgery by cadaveric dissection and supervised training we believe that in selected cases VEP monitoring can be employed with profit.

Pneumocephalus and orbital emphysema associated with the use of an autoinflation device: a unique case report and review of the literature

2019 ◽  
Vol 133 (2) ◽  
pp. 157-160
Author(s):  
A J Millington ◽  
V Perkins ◽  
M A Salam
Keyword(s):  
Case Report ◽  
Otitis Media ◽  
Eustachian Tube ◽  
Endoscopic Sinus Surgery ◽  
Otitis Media With Effusion ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Orbital Emphysema ◽  
Tube Dysfunction ◽  
History Of

AbstractBackgroundAutoinflation devices are commonly used for otitis media with effusion and Eustachian tube dysfunction. Generally, these are very safe devices, with few or no complications.Case reportThis paper presents a case study of pneumocephalus and orbital emphysema, associated with the use of an autoinflation device, in a 73-year-old woman with Eustachian tube dysfunction and otitis media with effusion, and a history of extensive endoscopic sinus surgery 13 years previously.ConclusionA literature review showed autoinflation-related pneumocephalus in patients with skull base defects relating to cranial surgery or tumours; however, this has not been described previously with the Otovent system or its use in relation to functional endoscopic sinus surgery. Given the theoretical risk of undetected bony abnormalities in post-operative functional endoscopic sinus surgery patients, it is suggested that autoinflation devices are used cautiously in patients with a history of sinus surgery.

scholarly journals Image-Guided Sphenoidotomy in Revision Functional Endoscopic Sinus Surgery

2014 ◽  
Vol 5 (3) ◽  
pp. ar.2014.5.0093 ◽  
Author(s):  
Rong-San Jiang ◽  
Kai-Li Liang
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sphenoid Sinus ◽  
Penetration Rate ◽  
Functional Endoscopic Sinus Surgery ◽  
The Other ◽  
Sinus Surgery ◽  
Image Guided Surgery ◽  
Guided Surgery ◽  
Image Guided ◽  
Senior Surgeon

The application of image-guided systems to sinus surgery is gaining in popularity. This study tried to evaluate the efficacy of image-guided surgery (IGS) in the fenestration of the sphenoid sinus in patients with chronic rhinosinusitis (CRS) who received revision functional endoscopic sinus surgery (FESS). A total of 51 CRS patients who received revision FESS incorporating IGS between January 2010 and August 2011 by two surgeons were enrolled in this study. A group of 30 CRS patients who underwent revision FESS by the senior surgeon without incorporating IGS was chosen for comparison. The penetration rates for the sphenoid sinus were 91.2% when performed by the senior surgeon with IGS and 91.3% when done by the other surgeon with IGS. The penetration rate for the sphenoid sinus was 68.6% for revision FESS without IGS. The fenestration rate for the sphenoid sinus in revision FESS without IGS was significantly lower than that in revision FESS with IGS (p = .004). Our results showed that IGS was a beneficial procedure for opening the sphenoid sinus in the revision cases.

Sign in / Sign up

Export Citation Format

Share Document