scholarly journals Image-Guided Sphenoidotomy in Revision Functional Endoscopic Sinus Surgery

2014 ◽  
Vol 5 (3) ◽  
pp. ar.2014.5.0093 ◽  
Author(s):  
Rong-San Jiang ◽  
Kai-Li Liang

The application of image-guided systems to sinus surgery is gaining in popularity. This study tried to evaluate the efficacy of image-guided surgery (IGS) in the fenestration of the sphenoid sinus in patients with chronic rhinosinusitis (CRS) who received revision functional endoscopic sinus surgery (FESS). A total of 51 CRS patients who received revision FESS incorporating IGS between January 2010 and August 2011 by two surgeons were enrolled in this study. A group of 30 CRS patients who underwent revision FESS by the senior surgeon without incorporating IGS was chosen for comparison. The penetration rates for the sphenoid sinus were 91.2% when performed by the senior surgeon with IGS and 91.3% when done by the other surgeon with IGS. The penetration rate for the sphenoid sinus was 68.6% for revision FESS without IGS. The fenestration rate for the sphenoid sinus in revision FESS without IGS was significantly lower than that in revision FESS with IGS (p = .004). Our results showed that IGS was a beneficial procedure for opening the sphenoid sinus in the revision cases.

2012 ◽  
Vol 3 (3) ◽  
pp. 236-241 ◽  
Author(s):  
Vijay R. Ramakrishnan ◽  
Richard R. Orlandi ◽  
Martin J. Citardi ◽  
Timothy L. Smith ◽  
Marvin P. Fried ◽  
...  

2013 ◽  
Vol 149 (1) ◽  
pp. 17-29 ◽  
Author(s):  
Dustin M. Dalgorf ◽  
Raymond Sacks ◽  
Peter-John Wormald ◽  
Yuresh Naidoo ◽  
Ben Panizza ◽  
...  

1993 ◽  
Vol 7 (1) ◽  
pp. 31-35 ◽  
Author(s):  
William E. Davis ◽  
Giulio J. Barbero ◽  
William R. LaMear ◽  
Jerry W. Templer ◽  
Peter Konig

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.


2000 ◽  
Vol 123 (3) ◽  
pp. 188-194 ◽  
Author(s):  
Garth Olson ◽  
Martin J. Citardi

Head & Neck ◽  
1994 ◽  
Vol 16 (5) ◽  
pp. 433-437 ◽  
Author(s):  
Laurent Gilain ◽  
Didier Aidan ◽  
André Coste ◽  
Roger Peynegre

1996 ◽  
Vol 110 (3) ◽  
pp. 261-264 ◽  
Author(s):  
D. Vanden Abeele ◽  
A. Clemens ◽  
M. J. Tassignon ◽  
P. H. van de Heyning

AbstractA case is presented with irreversible blindness in one eye and restriction of the infratemporal visual field in the other eye, due to electrocoagulation performed for delayed bleeding after functional endoscopic sinus surgery (FESS). Although blindness due to rhinosurgery is a well-known, but rare complication, a review of the recent literature did not reveal a similar incident. The use of electrocoagulation especially under conditions of poor visualization, that may be the case in post-operative bleeding following (endoscopic) sinus surgery, is strongly discouraged.


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