The surgical combination between functional endoscopic sinus surgery and septorhinoplasty as a procedure for nasal polyps treatment: a case report

Introduction: Functional Endoscopic Sinus Surgery (FESS) is now undoubtedlythe procedure of choice for surgical treatment of chronic sinusitis and nasal polyposis afterfailure of medical treatment. In order to present the formation of synechie nasal packing isperformed. Moreover, it also helps in supporting the process of wound healing and preventionof postoperative bleeding. Objectives: To determine the frequency of synechiae formation afterfunctional endoscopic sinus surgery (FESS) in patients presenting with nasal polyps. StudyDesign: Descriptive case series. Setting: Department of Otorhinolaryngology at ServicesHospital Lahore. Period: Six months from 03-10-2013 to 02-04-2014. Methodology: A total of150 cases were included in this study. Patients were treated by functional endoscopic sinussurgery (FESS) and were followed at the end of 1st, 2nd, 3rd and 4th week postoperatively forthe development of synechiae (as per operational definition). Results: The age of majority ofpatients was from 20 to 40 years and minimum patients were < 20 years old. Mean age of thepatients was 35.30±10.54 years. Male patients were 80 (53.3%) while female patients were 70(46.7%). Synechiae formation was observed in 28 patients (18.7%). Conclusion: Synechiaeformation was developed in 18.4% of the patients after functional endoscopic sinus surgery.

Download Full-text

Powered Nasal Polypectomy in the Office Setting

Ear Nose & Throat Journal ◽

10.1177/014556139607500909 ◽

1996 ◽

Vol 75 (9) ◽

pp. 608-610 ◽

Cited By ~ 11

Author(s):

John H. Krouse ◽

Dewey A. Christmas

Keyword(s):

Surgical Treatment ◽

Endoscopic Sinus Surgery ◽

Nasal Polyps ◽

Functional Endoscopic Sinus Surgery ◽

Sinus Surgery ◽

Office Setting

The use of powered instrumentation has revolutionized the practice of functional endoscopic sinus surgery. We have expanded the role of the instrument to the treatment of polypoid disease of the nose within the office setting. We have found the technique to be both safe and effective, and to allow thorough exenteration of nasal polyps with minimal bleeding and discomfort. We recommend the use of the powered device as the primary tool in the surgical treatment of nasal polyps in the office.

Download Full-text

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

The Journal of Laryngology & Otology ◽

10.1017/s0022215119000070 ◽

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.

Download Full-text