Paranasal Sinus Mucoceles: Modern Management

1995 ◽  
Vol 9 (5) ◽  
pp. 251-258 ◽  
Author(s):  
Nigel J.P. Beasley ◽  
Nicholas S. Jones
Keyword(s):  
Paranasal Sinus ◽  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Surgical Techniques ◽  
The Other ◽  
Diagnostic Radiology ◽  
Sinus Surgery ◽  
External Approach ◽  
Radiological Findings

As a result of the introduction of endoscopic sinus surgery, together with improvements in diagnostic radiology, it is now possible to marsupialize the majority of paranasal sinus mucoceles. We present a review of our management of 34 consecutive mucoceles, of which 22 were approached endoscopically. We discuss the presenting features and radiological findings in these patients, and the surgical techniques employed. At review, two patients have had a recurrence; both had previously had drainage of their mucocele by an external approach. One was then managed by further external surgery and the other endoscopically. There were no significant complications following endoscopic surgery with a follow-up of 6 months to 3 years. We suggest what should be the contraindications to an endoscopic approach.

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.

Endoscopic Surgery for Frontal and Ethmoid Sinus Mucoceles

1994 ◽  
Vol 8 (3) ◽  
pp. 107-112 ◽  
Author(s):  
Thomas L. Kennedy
Keyword(s):  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Ethmoid Sinus ◽  
Endoscopic Approach ◽  
Sinus Surgery ◽  
Difficult Cases

Seven patients with frontal and ethmoid mucoceles treated by endoscopic sinus surgery were reviewed. Five cases were successfully managed, with two requiring a trephine procedure in combination with the intranasal endoscopic approach. Follow-up ranged from 3 to 33 months with a mean of 17.8 months. The use of endoscopic instruments through a trephine incision is recommended in difficult cases to assure patency of the frontal sinus recess. When a large frontal sinus mucocele extends into the anterior ethmoid, the endoscopic approach becomes ideal. Sinus mucoceles can be handled safely and successfully by endoscopic surgery and may eliminate the need for more traditional external procedures.

Outcomes of Septal Perforation Repair With Concurrent Endoscopic Sinus Surgery

2021 ◽  
pp. 019459982098291
Author(s):  
Yassmeen Abdel-Aty ◽  
Rachel B. Cain ◽  
Cullen Taylor ◽  
Michael J. Marino ◽  
Devyani Lal ◽  
...  
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Tertiary Care ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Surgical Patient ◽  
Graft Material ◽  
Septal Perforation ◽  
Mucosal Flap ◽  
Interposition Graft

Objective This study reviews a cohort of patients in whom septal perforation repair was performed concurrently with endoscopic sinus surgery. We present an endonasal perforation repair technique using bilateral mucosal flaps with an autogenous interposition graft. Intraoperative and postoperative management of the combined surgical patient is discussed and perforation closure outcomes are reported. Study Design Case series. Setting Tertiary care center. Methods In this institutional review board–approved retrospective chart review, adult patients who underwent concurrent bilateral mucosal flap septal perforation repair and endoscopic sinus surgery from March 1992 to March 2020 were identified. Data on demographics, clinical presentations, perforation size, surgical techniques, and outcomes were extracted and analyzed for patients with a minimum of 3 months of follow-up. Results Fifty-six patients met study inclusion criteria. Nasal obstruction/congestion was the most frequent symptom reported (80.4%), followed by crusting and epistaxis. Mean perforation size measured at the time of surgery was 14.7 (range, 3-41) mm in length by 9.3 (range, 2-23) mm in height. Temporalis fascia was the most frequent (57.9%) interposition graft material used. Complete perforation closure at the time of the last follow-up was noted in 51 (91.1%) patients. Only 1 failure was noted in the last 48 attempted repairs. Conclusion Patients with a perforated septum may have coexistent chronic sinusitis. The feasibility of attempting concurrent sinus surgery and perforation repair has been questioned. Our review demonstrates a high perforation closure rate when a bilateral mucosal flap procedure is performed after sinus surgery is performed at the same setting.

Meticulous endoscopic sinus surgery to prevent recurrence of massive nasal polyposis

2012 ◽  
Vol 126 (8) ◽  
pp. 789-794 ◽  
Author(s):  
S M S Hoseini ◽  
B Saedi ◽  
K Aghazadeh
Keyword(s):  
Endoscopic Surgery ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyposis ◽  
Demographic Data ◽  
Effective Means ◽  
Sinus Surgery ◽  
Previous Surgery ◽  
Endoscopic Findings ◽  
History Of

AbstractObjective:To evaluate the effect of meticulous endoscopic surgery, including opening of all involved sinus cells, on the subsequent symptoms and endoscopic findings of patients with massive nasal polyposis.Study design and method:One hundred patients with massive nasal polyposis resistant to medical treatment were selected. We documented each patient's demographic data, associated diseases, endoscopic findings, Lund–Mackay score and Sino-Nasal Outcome Test 22 (SNOT22) symptom score. All patients were followed up for at least two years to evaluate any recurrence.Results:Of the 100 patients, 20 per cent had a history of asthma and 27 per cent had undergone previous surgery. All underwent endoscopic sinus surgery. After two years of follow up, 8 per cent had recurrence requiring surgery. Recurrence was significantly associated with a history of asthma (p < 0.001) and the histopathological presence of eosinophilia (p = 0.014).Conclusion:Meticulous endoscopic opening of all involved sinus cells can be a safe and effective means of controlling massive nasal polyposis, with an acceptable recurrence rate.

Scarring in Endoscopic Ethmoidectomy

1994 ◽  
Vol 8 (6) ◽  
pp. 271-274 ◽  
Author(s):  
Ralph E. Gaskins
Keyword(s):  
Retrospective Analysis ◽  
Revision Surgery ◽  
Endoscopic Sinus Surgery ◽  
Middle Turbinate ◽  
Surgical Techniques ◽  
Sinus Surgery ◽  
Postoperative Adhesions ◽  
Frequent Complication ◽  
Subsequent Revision

The formation of postoperative adhesions is perhaps the most frequent complication of endoscopic sinus surgery: These incidents may vary from trivial, small strands of scar to serious obstructive situations that mandate further surgery. This study is a retrospective analysis of 970 endoscopic ethmoidectomies performed in 535 patients over a 5-year period and followed by a single surgeon. Postoperative follow-up ranged from 6 to 70 months. The overall incidence of postoperative adhesions of all types was 10.5% and involving 102 cases. Of these, 40 cases (4.1%) of the total required subsequent revision surgery due to obstructive scarring. Further analysis is presented, showing the effects of various surgical techniques on the development of adhesions. The incidence of postsurgical lateral adhesion of the middle turbinate was reduced in this series in procedures that incorporated partial middle turbinate resection.

Patient History and Ct Findings in Predicting Surgical Outcomes for Patients with Rhinogenic Headache

2009 ◽  
Vol 88 (5) ◽  
pp. 926-929 ◽  
Author(s):  
Louis J. Mariotti ◽  
Reuben C. Setliff ◽  
Mahmoud Ghaderi ◽  
Spencer Voth
Keyword(s):  
Computed Tomography ◽  
Minimally Invasive ◽  
Endoscopic Surgery ◽  
Surgical Outcomes ◽  
Endoscopic Sinus Surgery ◽  
Primary Treatment ◽  
Sinus Surgery ◽  
Patient History ◽  
Primary Treatment Modality

The concept of rhinogenic headaches remains a subject of much debate. While many authors have reported good results in treating these headaches with endoscopic sinus surgery, few have attempted to establish objective criteria for identifying the best surgical candidates. We conducted a study of 33 adults with rhinogenic headaches to determine if three elements of the history and/or five aspects of computed tomography (CT) would predict which patients might benefit from the minimally invasive sinus technique (MIST) as the primary treatment modality for their headaches. Postoperative follow-up interviews revealed that endoscopic surgery was widely successful, as 28 patients (84.8%) reported improvement. However, we were unable to find any statistically significant history or CT parameters that predicted surgical outcomes.

scholarly journals A RARE CASE OF RECURRENT NASAL SCHWANOMA

2020 ◽  
pp. 1-2
Author(s):  
Shubhangi Gupta ◽  
Gaurav Singhal ◽  
Vijay Kumar Sharma
Keyword(s):  
Chronic Rhinosinusitis ◽  
Paranasal Sinus ◽  
Endoscopic Sinus Surgery ◽  
Rare Case ◽  
Sinus Surgery ◽  
Neurogenic Tumors ◽  
Transnasal Surgery ◽  
S 100 ◽  
Operative Recovery

Schwanoma are neurogenic tumors which are rarely found in nose and paranasal sinus . A 65 year old male presented with chronic rhinosinusitis affecting his right nose . He has transnasal surgery for the same complaint . Histopathological report suggestive of schwanoma which was positive for SOX- 10 and S – 100 on immunohistochemistry . The lesion was removed by endoscopic sinus surgery with debridment . The patient made good post- operative recovery and remained diseased free at six months follow- up.

Indolent mucormycosis of the paranasal sinus in immunocompetent patients: are antifungal drugs needed?

2013 ◽  
Vol 127 (9) ◽  
pp. 872-875 ◽  
Author(s):  
H Jung ◽  
S K Park
Keyword(s):  
Computed Tomography ◽  
Paranasal Sinus ◽  
Endoscopic Sinus Surgery ◽  
Clinical Symptoms ◽  
Antifungal Drugs ◽  
Sinus Surgery ◽  
Bony Destruction ◽  
Immunocompetent Patients ◽  
Paranasal Sinus Computed Tomography

AbstractObjective:To report the clinical characteristics and treatment outcomes of indolent paranasal mucormycosis in immunocompetent individuals.Materials and methods:A retrospective review of four immunocompetent patients with indolent mucormycosis of the paranasal sinus managed by endoscopic sinus surgery only was performed. One year of regular follow up comprised angled endoscopy and repeated paranasal sinus computed tomography three months after surgery.Results:Clinical symptoms were non-specific. Pre-operative paranasal sinus computed tomography showed opacification of the unilateral maxillary sinus with focal calcification but without bony destruction or extension to the orbit or cranium. All patients underwent endoscopic sinus surgery without administration of antifungal agents. There was no recurrence on regular clinical and radiological follow up.Conclusion:For indolent paranasal mucormycosis in immunocompetent patients, endoscopic sinus surgery can be the treatment of choice, and the administration of antifungal drugs may not be necessary.

Endoscopic Sinus Surgery and Postoperative Intravenous Aminoglycosides in the Treatment of Atrophic Rhinitis

1998 ◽  
Vol 12 (5) ◽  
pp. 325-334 ◽  
Author(s):  
Rong-san Jiang ◽  
Chen-yi Hsu ◽  
Clayton chi-chang Chen ◽  
Yee-jee Jan ◽  
Jinq-wen Jang
Keyword(s):  
Antibiotic Therapy ◽  
Endoscopic Sinus Surgery ◽  
Major Complication ◽  
The Other ◽  
Sinus Surgery ◽  
Atrophic Rhinitis ◽  
Retrobulbar Hematoma ◽  
Prior Surgery ◽  
Intranasal Surgery

A total of 29 atrophic rhinitis patients were treated by endoscopic sinus surgery between 1990 and 1995. After the surgery, a 7 to 10-day course of systematic aminoglycoside was administered. Two cases were excluded, due to later occurrence of nasal lymphoma in one patient and incompleteness of postoperative antibiotic therapy in the other. Among those included, atrophic rhinitis occurred in the absence of prior surgery in 24 patients, and the condition was secondary to a previous intranasal surgery in the other three patients. After a 1 to 6-year follow-up (mean: 63.4 months), seven patients were successfully managed without any characteristic symptom or sign of atrophic rhinitis. Another 18 patients felt improved. Only two patients did not have any improvement. The rate of improvement was 92.6%. Overall, one patient suffered from a left retrobulbar hematoma after operation. Exposed orbital fat was observed in the other patient. The orbital complication rate was therefore 7.4%. No other major complication occurred in this series. The bacteriologic, radiological, antroscopic, and pathologic findings are also included here. It is concluded that endoscopic sinus surgery in combination with adequate postoperative antibiotic therapy can significantly treat atrophic rhinitis.

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