scholarly journals Bacterial Flora of the Nose and Paranasal Sinuses Among Patients Over 65 Years Old with Chronic Rhinosinusitis Who Underwent Endoscopic Sinus Surgery

2020 ◽  
Vol Volume 15 ◽  
pp. 207-215 ◽  
Author(s):  
Joanna Leszczyńska ◽  
Grażyna Stryjewska-Makuch ◽  
Wojciech Ścierski ◽  
Grażyna Lisowska
Keyword(s):  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Bacterial Flora ◽  
Sinus Surgery ◽  
Nose And Paranasal Sinuses

scholarly journals Chronic rhinosinusitis in adult patients with cystic fibrosis: clinical manifestation and therapeutic approaches

2019 ◽  
Vol 29 (3) ◽  
pp. 311-320
Author(s):  
G. L. Shumkova ◽  
E. L. Amelina ◽  
V. M. Svistushkin ◽  
E. V. Sin’kov ◽  
S. A. Krasovskiy ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Surgical Treatment ◽  
Treatment Group ◽  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Nasal Polyps ◽  
Adult Patients ◽  
Sinus Surgery ◽  
Markers Of Inflammation

The aim of this study was to evaluate prevalence of chronic rhinosinusitis (CRS) and nasal polyps in adult patients with cystic fibrosis (CF) in Russian Federation. Additionally, we investigated the clinical course of CRS and developed the optimal therapeutic strategy.Methods. Three hundred and forty eight CF patients were involved in the study. Physical examination, computed tomography (CT) of paranasal sinuses and audiometry, if needed, were used. CRS and bilateral nasal polyps were diagnosed in 28 patients. Nasal endoscopy, SNOT-20 questionnaire, rhinomanometry, micro - biological examination of sputum and mucus from paranasal sinuses (obtained during puncture or surgery), spirometry, and measurement of serum markers of inflammation were used. Endoscopic sinus surgery was used in 14 patients (the group 1) and others were treated non-surgically (the group 2). Both group were treated during 6 months using intranasal mometasone, mucolytics and antibiotics via PARI SINUSTM nebulizer.Results. An improvement in symptoms, CT signs, rhinomanometry parameters and endoscopic signs was seen in both groups after treatment and was more prominent in the surgical treatment group compared to the non-surgical treatment group. Bacterial load reduction in nasal sinuses, decrease in the rate of pulmonary disease exacerbations, and an improvement in oxygen blood saturation were found in the surgical treatment group only. Treatment of CRS did not affect lung function, sputum microbiology and serum inflammatory markers.Conclusion. Endoscopic sinus surgery followed by intranasal mucolytics and antibacterials is an effective and well-tolerated treatment in adult CF patients with CRS. 

ʺStomatologyʺ in functional endoscopic sinus surgery – 2 case reports

2018 ◽  
Vol 7 (2) ◽  
pp. 43-47
Author(s):  
Paulina Kołodziejczyk ◽  
Tomasz Gotlib
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Surgery ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Case Reports ◽  
Functional Endoscopic Sinus Surgery ◽  
The Body ◽  
Sinus Surgery ◽  
Facial Region ◽  
Rare Phenomenon

Functional endoscopic sinus surgery (FESS) is most commonly used in chronic rhinosinusitis treatment. This method is also applicable to other diseases, including the treatment of symptomatic ectopic teeth. Ectopic teeth are a quite rare phenomenon. They may appear within the facial region, as well as in other parts of the body. The article describes two cases of ectopic teeth appearing within the nose area and paranasal sinuses, there endoscopic surgery has been used in the extraction, which resulted in the remission of symptoms.

Tele-3-Dimensional Computer-Assisted Functional Endoscopic Sinus Surgery: New Dimension in the Surgery of the Nose and Paranasal Sinuses

2002 ◽  
Vol 127 (6) ◽  
pp. 549-557 ◽  
Author(s):  
Ivica Klapan ◽  
Ljubimko Šimičić ◽  
Ranko Rišavi ◽  
Nada Bešenski ◽  
Karlo Pasarić ◽  
...  
Keyword(s):  
Operating Room ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Optimal Path ◽  
3D Models ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Computer Assisted ◽  
3 Dimensional ◽  
Nose And Paranasal Sinuses

One of the main objectives of our 3-dimensional (3D) computer-assisted functional endoscopic sinus surgery was to design a computer-assisted 3D approach to the presurgical planning, intraoperative guidance, and postoperative analysis of the anatomic regions of the nose and paranasal sinuses. Such an extremely powerful approach should allow better insight into the operating field, thereby significantly increasing the safety of the procedure. The last step to implementing the technology in the operating room was to connect the computer workstations and video equipment to remote locations by using a high-speed, wide-bandwidth computer network. During patient preparation, the surgeon in the operating room consulted remote experienced and skillful surgeons by viewing CT images and 3D models on computer workstations. The surgeon and consultants used software for CT image previews and 3D model manipulations on top of collaboration tools to define the pathosis, produce an optimal path to the pathosis, and decide how to perform the real surgical procedure. With tele-flythrough or tele-virtual endoscopy rendered through the use of 3D models, both surgeons can preview all the characteristics of the region (ie, anatomy, pathosis) and so predict and determine the next steps of the operation. This ensures greater safety thanks to the operation guidance and reduces the possibility of intraoperative error. The duration of the teleconsultation is thus shortened, which may prove the greatest benefit of tele-3D computer-assisted surgery. If this method were used, clinical institutions would spend less money for telesurgical consultation.

scholarly journals Anatomy of Nasal Cavity and Paranasal Sinuses; Surgical Perspective

2020 ◽  
Vol 63 (5) ◽  
pp. 189-198
Author(s):  
Seung-Kyu Chung
Keyword(s):  
Surgical Treatment ◽  
Medical Treatment ◽  
Nasal Cavity ◽  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Treatment Method ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery

Endoscopic sinus surgery is a treatment method for chronic rhinosinusitis not controlled with medical treatment. It had started with functional endoscopic sinus surgery and the concept of reboot approach was introduced recently. For safe surgical treatment, understanding the anatomy especially personal variations between well-known structures is important. The practical points of surgical concept during endoscopic sinus surgery was suggested.

Olfaction and Endoscopic Sinus Surgery

1994 ◽  
Vol 73 (8) ◽  
pp. 548-552 ◽  
Author(s):  
Bruce W. Jafek ◽  
Bruce Murrow ◽  
Edward W. Johnson
Keyword(s):  
Standardized Testing ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Olfactory Dysfunction ◽  
Sinus Surgery ◽  
Endoscopic Evaluation ◽  
Olfactory Pathways ◽  
Olfactory Acuity ◽  
Recent Advances ◽  
Nose And Paranasal Sinuses

Recent advances in endoscopic evaluation of the nose and paranasal sinuses and endoscopic sinus surgery, coupled with the development of standardized testing of olfactory acuity, have permitted improved correction of olfactory dysfunction. Conversely, increase in the number of operations performed has increased the number of injuries to the olfactory pathways. The mechanisms of loss and potential preventive and corrective measures are reviewed with a goal to minimize the numbers of these complications.

Charing Cross CT protocol for endoscopic sinus surgery

1995 ◽  
Vol 109 (11) ◽  
pp. 1057-1060 ◽  
Author(s):  
J. Rowe-Jones ◽  
I. Mackay ◽  
I. Colquhoun
Keyword(s):  
Chronic Rhinosinusitis ◽  
Computerized Tomography ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Ct Protocol

AbstractThe Charing Cross computerized tomography protocol for imaging the paranasal sinuses uses 2 mm thick slices with table increments of 8 mm: 10 to 12 coronal and two axial images are produced. These provide the necessary information for diagnosis of chronic rhinosinusitis and safe endoscopic sinus surgery. The technique is quicker and cheaper than previously described protocols and exposes the lens of the eye to less radiation

scholarly journals Towards the Understanding of Sinonasal Anatomical Variations - A Cadaveric Study

2009 ◽  
Vol 2 (3) ◽  
pp. 37-42
Author(s):  
Daisy Sahni ◽  
Rupa Mehta ◽  
Anjali Aggarwal
Keyword(s):  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Indian Population ◽  
Anatomical Variations ◽  
Cadaveric Study ◽  
Sinus Surgery ◽  
Surgical Results ◽  
Anatomic Variations ◽  
North Indian Population ◽  
Nose And Paranasal Sinuses

Abstract A thorough understanding of the sinonasal anatomy is required for the performance of a safe and successful surgery. With the aim to identify the variations in sinonasal anatomy in north Indian population twenty fresh cadaveric heads were dissected by messerklinger technique to identify various sinonasal anatomic variations in north Indian population. The variations in the key landmarks of nose and paranasal sinuses during endoscopic sinus surgery were noted and compared with other studies. Identification and differentiation of the normal and the abnormal sinonasal anatomic variations helps in preventing complications and giving optimum surgical results.

Impact of Chronic Rhinosinusitis and Endoscopic Sinus Surgery on Bone Remodeling of the Paranasal Sinuses

2008 ◽  
Vol 22 (5) ◽  
pp. 537-541 ◽  
Author(s):  
Seok Hyun Cho ◽  
Kwang Soo Shin ◽  
Yong Seop Lee ◽  
Jin Hyeok Jeong ◽  
Seung Hwan Lee ◽  
...  
Keyword(s):  
Bone Remodeling ◽  
Chronic Rhinosinusitis ◽  
Paranasal Sinuses ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery

scholarly journals What is the optimal outcome after endoscopic sinus surgery in the treatment of chronic rhinosinusitis? A consultation of Canadian experts

2021 ◽  
Vol 50 (1) ◽  
Author(s):  
Nadim Saydy ◽  
Sami P. Moubayed ◽  
Marie Bussières ◽  
Arif Janjua ◽  
Shaun Kilty ◽  
...  
Keyword(s):  
Chronic Rhinosinusitis ◽  
Endoscopic Sinus Surgery ◽  
Patient Reported Outcome ◽  
Sinus Surgery ◽  
Structured Interviews ◽  
Subjective Data ◽  
Operative Outcomes ◽  
Patient Reported ◽  
Definition Of Success ◽  
Reported Data

Abstract Objectives Many experts feel that in the absence of well-defined goals for success, they have an easier time identifying failure. As success ought to not be defined only by absence of failure, we aimed to define optimal outcomes for endoscopic sinus surgery (ESS) in chronic rhinosinusitis (CRS) by obtaining expert surgeon perspectives. Methods A total of 12 surgeons participated in this targeted consultation. Face to face semi-structured interviews were performed with expert surgeons in the field of CRS and ESS. General impressions and personal definitions of acceptable operative success and optimal operative outcomes were compiled and summarized. Results According to an expert survey, patients’ main objectives are an improvement in their chief complain, a general improvement in quality of life (QoL), and a better overall symptomatic control. The most important aspects of endoscopy for defining a successful intervention were an adequate mucus circulation, a healthy mucosa, minimal edema, and patency of all explored cavities or ostia. In the assessment of surgical outcomes, it was determined that both objective and patient reported data must be carefully examined, with more attention given to subjective outcomes. Conclusions According to data gathered from a Canadian expert consultation, a definition of success must be based on both subjective data and nasal endoscopy. We propose to define an acceptable outcome as either a subjective improvement of at least the minimal clinically improvement difference of a validated patient reported outcome questionnaire, along with a satisfactory endoscopic result (1) or a complete subjective resolution with a sub-optimal endoscopy (2). Graphical abstract

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