Long Term Olfactory Outcomes Following Frontal Sinus Surgery in Chronic Rhinosinusitis

2021 ◽  
Author(s):  
Sen Ninan ◽  
David Y. Goldrich ◽  
Katherine Liu ◽  
Sarah Kidwai ◽  
Sean McKee ◽  
...  
Skull Base ◽  
2007 ◽  
Vol 17 (S 1) ◽  
Author(s):  
E. Sauvaget ◽  
W. El Bakkourri ◽  
E. Bayonne ◽  
P. Tran Ba Huy ◽  
P. Herman

2018 ◽  
Vol 159 (2) ◽  
pp. 359-364 ◽  
Author(s):  
Sarah A. Gitomer ◽  
Wei Zhang ◽  
Lucila Marquez ◽  
Binoy M. Chandy

Objective (1) To describe the demographics and clinical course of children with intracranial complications of sinusitis. (2) To elucidate factors that predict revision surgery in this population, such as type of initial surgery. Study Design Case series with chart review. Setting Tertiary care academic children’s hospital. Subjects and Methods A 15-year retrospective review identified 71 patients with intracranial complications of acute sinusitis. Primary outcome was need for revision surgery. Secondary outcomes were readmission, length of hospitalization, and long-term complications. Results This study is the largest to date examining this disease process. Overall, 69 (97%) patients had surgery; 33 (46%) required revision surgery. Half of the patients with frontal sinus opacification underwent frontal sinus surgery at presentation (endoscopic, trephination, or cranialization). There was no difference in revision surgery between patients who had frontal sinus surgery and those who did not. Patients with frontal sinus surgery did not have a higher rate of complications or chronic sinusitis ( P > .05). Subdural abscess was associated with multiple surgical procedures (odds ratio, 20.0; P < .01). Thirty-four patients (49%) required neurosurgery. These patients had a longer length of stay (odds ratio, 11.0; P < .01) and a higher readmission rate ( P = .02). During the mean 92-month follow-up, 22 patients (33%) had long-term complications, and there was 1 death (1.4%). Conclusion Almost half of this cohort required multiple surgical procedures. In particular, patients with subdural abscess had significantly higher rates of revision surgery. Type of frontal sinus surgery was not correlated with need for revision surgery and was not associated with an increased rate of complications.


2018 ◽  
Vol 129 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Eugene H. Wong ◽  
Timothy Q. Do ◽  
Richard J. Harvey ◽  
Carolyn A. Orgain ◽  
Raymond Sacks ◽  
...  

2000 ◽  
Vol 110 (6) ◽  
pp. 1037-1044 ◽  
Author(s):  
Rainer Weber ◽  
Wolfgang Draf ◽  
Rainer Keerl ◽  
Gabriele Kahle ◽  
Stefan Schinzel ◽  
...  

2012 ◽  
Vol 2 (3) ◽  
pp. 185-190 ◽  
Author(s):  
Yuresh Naidoo ◽  
David Wen ◽  
Ahmed Bassiouni ◽  
Mark Keen ◽  
Peter J. Wormald

2004 ◽  
Vol 131 (2) ◽  
pp. P195-P195
Author(s):  
Michael Friedman ◽  
Darius Bliznikas ◽  
Ramakrishnan Vidyasagar ◽  
Roee Landsberg

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052199527
Author(s):  
Jun Dai ◽  
De Huai ◽  
Min Xu ◽  
Jingjing Cai ◽  
Haixu Wang

Objective To examine the clinical effects of revision endoscopic frontal sinus surgery (RESS) through modified agger nasi (MAN)–middle turbinate resection on refractory chronic rhinosinusitis (CRS). Methods We reviewed 156 patients who were treated for refractory CRS from February 2012 to August 2014. These patients had been diagnosed with refractory CRS by computed tomography and endoscopy and had received several surgical and medical treatments in the past, but their condition had not been cured. They were divided into the observation group (RESS through MAN–middle turbinate resection, n = 78) and the control group (endoscopic sinus surgery, n = 78). Complete or partial control of the patient’s symptoms and signs suggested that the treatment was effective, and no improvement in the symptoms and signs indicated that the treatment was ineffective. Results The 6-month treatment efficacy rate was significantly higher in the observation group (91.03%) than in the control group (71.79%). The observation group had a significantly lower complication rate (7.69%) and recurrence rate (3.85%) than the control group (17.95% and 12.82%, respectively). Conclusion RESS through MAN–middle turbinate resection together with adequate perioperative preparation has a significant effect on the outcome of refractory CRS and is worthy of clinical promotion.


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