scholarly journals Comparison between preoperative computed tomography scan of paranasal sinuses and operative findings in functional endoscopic sinus surgery (FESS) in chronic sinusitis

2016 ◽  
Vol 4 (12) ◽  
pp. 2147-2155
Author(s):  
Dr. Amita Kumari ◽  
◽  
Dr. Amarjit Kaur ◽  
Dr. Manoj Mathur ◽  
Dr. Jasvir Singh ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Chronic Sinusitis ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Computed Tomography Scan ◽  
Operative Findings ◽  
Tomography Scan

scholarly journals Evaluation of Anatomical Variations in Maxillary Sinus and Management of Chronic Sinonasal Disease

2021 ◽  
Vol 10 (38) ◽  
pp. 3351-3355
Author(s):  
Ganesh Manohar Vihapure ◽  
Akshay Sorade ◽  
Kaenat Ahmed ◽  
Lakshmi Sravya Yarlagadda ◽  
Khaleel Basha Munnaru
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Anatomical Variations ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Successful Outcome ◽  
Operative Care ◽  
Number Of Patients

BACKGROUND The paranasal sinuses (PNS) have various anatomical difference. Computed tomography (CT) is an excellent means of providing anatomical information of this region, disease extent, assisting endoscopic evaluation and guiding treatment. Functional endoscopic sinus surgery (FESS) has become an increasingly popular treatment for chronic sinus diseases. CT of the paranasal sinuses has become a roadmap for FESS. The present study focuses on the assessment of the efficacy, safety and benefits of functional endoscopic sinus surgery in cases of maxillary pathologies and also study the anatomical variations in maxillary sinus in computed tomography and its usefulness in planning and management of chronic sinonasal diseases. METHODS It was a prospective study and a total of 80 patients were included in this study from July 2019 to June 2020 in the Otolaryngology Department, KIMS, Karad. Standard surgical steps were applied in each case according to the extent of disease. All patients underwent standard post-operative care. All findings were recorded and studied. RESULTS Total number of patients were 80. Of which, 31 (38.75 %) patients were operated for ethmoidal polyp, 24 (30 %) for chronic rhinosinusitis, 10 (12.5 %) for antrochoanal polyp, 9 (11.25 %) for rhinosporidiosis and 6 (7.5 %) for inverted papilloma. Postoperative complications were periorbital echymoses (13 %), synechiae (2.5 %), epiphora (2.5 %), infection (2.5 %), hemorrhage (4 %). Complete relief of symptoms were noted in 81.67 % cases. CONCLUSIONS Successful outcome and patient satisfaction post treatment can be obtained by careful evaluation and patient selection by history, examination and most importantly, proper imaging of the sinuses. KEY WORDS Maxillary Sinus, Sinusitis, Nasal Polyp, Paranasal Sinus Disease, Computed Tomography (CT)

scholarly journals Assessment of depth of olfactory fossa in pre-functional endoscopic sinus surgery computed tomography scan of paranasal sinuses

2017 ◽  
Vol 4 (1) ◽  
pp. 83 ◽  
Author(s):  
Abhijit Pawar ◽  
Santosh Konde ◽  
Priya Bhole
Keyword(s):  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Multidetector Ct ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Type I ◽  
Type Ii ◽  
Type Iii ◽  
Tomography Scan ◽  
Ct Studies

<p class="abstract"><strong>Background:</strong> <span lang="EN-GB">To evaluate the olfactory fossae depth according to the Keros' classification on pre functional endoscopic sinus surgery (pre-FESS) and determine the incidence and degree of asymmetry in the height of the ethmoid roof in the population of western Maharashtra</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-GB">Retrospective analysis of 200 multidetector CT studies (400 sides) of paranasal sinuses performed in between January to August, 2017</span><span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-GB">According to the Keros’ classification, the incidence of different types of olfactory fossae was as follows: type I: 18.5%, type II: 74.5% and type III: 7%. Asymmetry in the ethmoid roof height was found in 11.5% of cases</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-GB">Keros’ type II was the commonest followed by type I and type III. There was asymmetry in the depth of the olfactory fossae in 11.5% cases. There was no significant gender predilection as far as type and asymmetry were considered</span><span lang="EN-IN">.</span></p>

Functional Endoscopic Sinus Surgery in Patients with Normal Computed Tomography Scans

1994 ◽  
Vol 110 (6) ◽  
pp. 505-509 ◽  
Author(s):  
Paul R. Cook ◽  
Gary J. Nishioka ◽  
William E. Davis ◽  
Joel P. McKinsey
Keyword(s):  
Computed Tomography ◽  
Endoscopic Sinus Surgery ◽  
Facial Pain ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Select Group ◽  
Computed Tomography Scans ◽  
The Impact ◽  
Tomography Scan

Eighteen patients were operated on by functional endoscopic sinus surgery who had no ostiomeatal unit obstruction on computed tomography scan and had unremarkable paranasal sinuses. These patients also had no apparent ostiomeatal unit obstruction on diagnostic nasal endoscopy. Data were collected on these patients regarding the impact of very limited functional endoscopic sinus surgery on their principal complaint of recurrent sinusitis with facial pain/headache thought to be of sinogenic origin. Sixteen patients (88.9%) had a reduction in the number of sinus infections requiring antibiotic therapy. This reduction was significant at p < 0.0001. Twelve of 14 patients whose facial pain/headache was believed to be of sinogenic origin had a significant reduction in severity (95% confidence interval, 49.2% to 95.3%). We discuss the role of reversible nasal mucosal disease in the pathophysiology of recurrent rhinosinusifts in this patient population. This was a very small, select group of patients who had specific complaints and had had medical treatment failures. This therapy Is not recommended for every patient, but only a select few with classic complaints of sinus headaches or recurrent sinusitis and negative computed tomography scans.

Medial orbital protrusion - a potentially hazardous anomaly during endoscopic sinus surgery

1999 ◽  
Vol 113 (8) ◽  
pp. 754-755 ◽  
Author(s):  
J. C. Lim ◽  
P. J. Hadfield ◽  
S. Ghiacy ◽  
N. R. Bleach
Keyword(s):  
Computed Tomography ◽  
High Risk ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Developmental Anomaly ◽  
Sinus Surgery ◽  
Ct Scans ◽  
Orbital Wall ◽  
Medial Orbital Wall

AbstractWe report the case of a 57-year-old patient with a presumed developmental anomaly of the medial orbital wall. The resultant protrusion of orbital contents into the ethmoidal complex was clearly demonstrated on coronal computed tomography (CT) scans of the paranasal sinuses. This anomaly presents a high risk of iatrogenic injury to the medial rectus and orbit during functional endoscopic sinus surgery and has not previously been described.

Radiological evaluation of lacrimal apparatus injury after functional endoscopic sinus surgery

2021 ◽  
Vol 135 (3) ◽  
pp. 229-233
Author(s):  
G B Singh ◽  
N Rana ◽  
S Tomar ◽  
S Malhotra ◽  
S Kumar
Keyword(s):  
Computed Tomography ◽  
Endoscopic Sinus Surgery ◽  
Nasolacrimal Duct ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Non Invasive ◽  
Lacrimal Apparatus ◽  
Invasive Method ◽  
Based Medicine ◽  
Tomography Scan

AbstractObjectiveTo determine the incidence of nasolacrimal duct injury after functional endoscopic sinus surgery radiologically, using computed tomography.MethodsFifty patients of either sex who underwent functional endoscopic sinus surgery were evaluated for nasolacrimal duct injury by computed tomography. Computed tomography was conducted pre-operatively, and post-operatively at the end of four weeks, and nasolacrimal duct injury was analysed.ResultsThe prevalence of nasolacrimal duct injury dehiscence was 1.16 per cent, with a similar incidence of 1.16 per cent for nasolacrimal duct injury post-operatively. However, no cases of symptomatic nasolacrimal duct injury were recorded.ConclusionComputed tomography scan is an effective, non-invasive method to evaluate nasolacrimal duct injury following functional endoscopic sinus surgery, in accordance with evidence-based medicine.

Post-operative course prediction during endoscopic sinus surgery in patients with chronic rhinosinusitis

2018 ◽  
Vol 132 (5) ◽  
pp. 408-417 ◽  
Author(s):  
K Tsuzuki ◽  
K Hashimoto ◽  
K Okazaki ◽  
M Sakagami
Keyword(s):  
Computed Tomography ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Recognition Threshold ◽  
Sinus Surgery ◽  
Endoscopic Appearance ◽  
Eosinophilic Chronic Rhinosinusitis ◽  
Superior Meatus ◽  
Operative Findings

AbstractObjective:This study aimed to analyse findings of functional endoscopic sinus surgery to estimate the post-operative course of patients with chronic rhinosinusitis.Methods:From 2007 to 2015, 291 adult patients with bilateral chronic rhinosinusitis, divided into eosinophilic chronic rhinosinusitis (n= 210) and non-eosinophilic chronic rhinosinusitis (n= 81) groups, who underwent primary functional endoscopic sinus surgery were enrolled. Functional endoscopic sinus surgery findings, scored as operating score, were analysed in relation to pre-operative olfactory recognition threshold and sinonasal computed tomography imaging score, as well as post-operative endoscopic appearance.Results:Operating scores in eosinophilic chronic rhinosinusitis were significantly worse than those in non-eosinophilic chronic rhinosinusitis. The anterior ethmoid sinus and superior meatus were predominantly inflamed. Operating score significantly correlated with pre-operative olfaction recognition threshold, computed tomography score and pre-operative endoscopic appearance score. In eosinophilic chronic rhinosinusitis, higher operating scores were related to post-operative deterioration of endoscopic appearance score.Conclusion:The operating score reflects the course following functional endoscopic sinus surgery. Patients with more severe operative findings require longer post-operative treatment.

scholarly journals Use of Computed Tomography (CT scan) for delineating anatomy and variation of frontal Sinus before Functional Endoscopic Sinus Surgery

2022 ◽  
Vol 9 (3) ◽  
pp. 54-57
Author(s):  
Sajjad Ali Hashmi Syed ◽  
Sadaf Tanveer Khan ◽  
Jawwad Ali Hashmi Syed
Keyword(s):  
Computed Tomography ◽  
Ct Scan ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Frontal Sinus ◽  
Anatomical Variations ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Medical College ◽  
Orbital Roof

Abstract Introduction: For Functional Endoscopic Sinus Surgery (FESS), the surgeon needs an accurate depiction of the anatomy of paranasal sinuses and their variations. Computed tomography (CT Scan) fulfills this requirement by providing detailed anatomy, the anatomical variants, and the extent of the disease in and around the Para nasal sinuses. The aim of this study is to show the anatomy of the Frontal sinus as delineated by the computed tomography. Materials and Methods: STUDY DESIGN: Cross section Descriptive Study. Out of 337 patients above 12 years of age who were referred for computed tomography of paranasal sinuses in the Dept. of Radio- Diagnosis, Govt. Medical College and Hospital from December 2015 till October 2017, 200 adults(males and females) were randomly selected.Of the 200 subjects studied 37(18.5%) subjects had hypoplastic/ non or poorly pneumatised frontal sinuses of which 31 (15.5%) were bilateral and 6 (3%) were unilateral i.e. on right side. Observations and results: Intra frontal cell were seen in about 64 (32%) subjects of which 26 (13%) on right side, 24 (12%) were on left side and 14 (7%) were bilateral. Extension of pneumatisation into crista galli was seen in 16 (8%) subjects and into orbital roof was seen in 6 (3%) subjects. Conclusion: The findings in this study show that anatomical variations in the Para nasal sinuses and nasal cavity are common. Computed tomography is fundamental radiologic investigation for diagnosis of the Sino nasal lesions or pre and post-surgical assessment.

Development of the Paranasal Sinuses in Children

1997 ◽  
Vol 11 (3) ◽  
pp. 203-210 ◽  
Author(s):  
Javier Medina ◽  
Hector Hernandez ◽  
Lawrence W.C. Tom ◽  
Larissa Bilaniuk
Keyword(s):  
Computed Tomography ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Developmental Anatomy ◽  
Diagnosis And Management ◽  
Standard Deviations ◽  
Sinus Ostium

The development of computed tomography and functional endoscopic sinus surgery has improved diagnosis and management of sinusitis. It has also renewed interest in the developmental anatomy of the paranasal sinuses. There are significant differences between adult and pediatric sinus anatomy, and to safely perform functional endoscopic sinus surgery in children, the surgeon must be aware of these differences. To define the developmental anatomy of the paranasal sinuses, we analyzed 145 computed tomograms from patients under 18 years of age. The study emphasized landmarks at the level of the maxillary sinus ostium. In addition, distances and angles from the nasal spine to various points in the sinuses were determined. The structures were identified and traced on a digitizing tablet. Means and standard deviations were calculated for each measure as a function of age. This study can aid a better understanding of sinus development in children and provide guidance to the endoscopic sinus surgeon.

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