scholarly journals Impact of synechiae after endoscopic sinus surgery on long-term outcomes in chronic rhinosinusitis

2013 ◽  
Vol 123 (11) ◽  
pp. 2615-2619 ◽  
Author(s):  
Oswaldo A. Henriquez ◽  
Rodney J. Schlosser ◽  
Jess C. Mace ◽  
Timothy L. Smith ◽  
Zachary M. Soler
2013 ◽  
Vol 79 (3) ◽  
pp. 306-311 ◽  
Author(s):  
Juliana Gama Mascarenhas ◽  
Viviane Maria Guerreiro da Fonseca ◽  
Vitor Guo Chen ◽  
Caroline Harumi Itamoto ◽  
Camila Atallah Pontes da Silva ◽  
...  

2011 ◽  
Vol 49 (5) ◽  
pp. 577-582
Author(s):  
Anton Krzeski ◽  
Anna Galewicz ◽  
Rafal Chmielewski ◽  
Marta Kisiel

Objective: The purpose of this study was to explore the influence of smoking on long-term outcomes of endoscopic sinus surgery for chronic rhinosinusitis. Methods: The study prospectively enrolled 274 patients at the Department of Otolaryngology of the Warsaw Medical University from 1993 to 2000. All patients were diagnosed with chronic rhinosinusitis and scheduled for the endoscopic sinus surgery. We evaluated subgroups of patients with respect to bronchial asthma, allergy, aspirin triad, gastro-esophageal reflux disease and nasal septal deviation. Patients were divided into smokers and non-smokers. Patient CT scan results were recorded according to the four-grade classification system by Kennedy. Patients were observed over a period between 2 to 9 years following the surgical intervention and had their surgery revised if the severity of symptoms were at the same level or worsened. Results: Prior to endoscopic sinus surgery, 23% of smokers and 20% of non-smokers scored III or IV on the Kennedy Scale. The revision ESS was carried out in 27 patients. In this group there were 20% smokers and 7% non-smokers, with the difference being significant. There was no significant difference in the postoperative quality of life scale scores. Conclusions: The study shows that while smoking did not influence preoperative symptoms, smokers had worse postoperative outcomes.


2019 ◽  
Vol 9 (8) ◽  
pp. 831-841 ◽  
Author(s):  
Timothy L. Smith ◽  
Rodney J. Schlosser ◽  
Jess C. Mace ◽  
Jeremiah A. Alt ◽  
Daniel M. Beswick ◽  
...  

2013 ◽  
Vol 124 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Feng‐Hong Chen ◽  
Ke‐Jun Zuo ◽  
Yu‐Biao Guo ◽  
Zhi‐Ping Li ◽  
Geng Xu ◽  
...  

2012 ◽  
Vol 50 (2) ◽  
pp. 178-184
Author(s):  
H.R. Briner ◽  
N. Jones ◽  
D. Simmen

Loss of olfactory function is one of the main symptoms in patients with chronic rhinosinusitis. This prospective, non-randomized interventional study reports five years results of olfaction of patients with chronic rhinosinusitis who underwent endoscopic sinus surgery in conjunction with topical medical treatment. Forty-five patients with chronic rhinosinusitis who underwent endoscopic sinus surgery were evaluated preoperatively, after three months and 34 (76%) of them after five years. Olfactory function was assessed by a subjective visual analogue scale, by a screening test of olfaction with Smell Diskettes and by measuring the N-Butanol threshold. Patient`s subjective sense of olfaction using a visual analogue scale was improved in 79% at 5 years. Objective measurements by Smell Diskettes improved in 53% at 5 years whilst the quantitative measurement by the N-Butanol threshold improved in 85% at 5 years. The high percentage of patients with improvement of olfaction five years after surgery indicates that endoscopic sinus surgery in conjunction with continued topical treatment leads to a long term improvement of the sense of smell. However, it was found that - measured by the sensitive N-Butanol threshold - up to 9% had no improvement and 6% had deterioration in their olfaction at 5 years after endoscopic sinus surgery. This fact has to be considered in the preoperative counselling of patients.


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