scholarly journals The Impact of Endonasal Endoscopic Sinus Surgery on Patients with Chronic Pulmonary Diseases

Sinusitis ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 4
Author(s):  
Basel Al Kadah ◽  
Gudrun Helmus ◽  
Quoc Dinh ◽  
Bernhard Schick
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Pulmonary Diseases ◽  
Chronic Pulmonary Diseases ◽  
The Impact

Partial Endoscopic Middle Turbinectomy Augmenting Functional Endoscopic Sinus Surgery

1992 ◽  
Vol 107 (3) ◽  
pp. 382-389 ◽  
Author(s):  
William R. Lamear ◽  
William E. Davis ◽  
Jerry W. Templer ◽  
Joel P. Mckinsey ◽  
Herbierto Del Porto
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Underlying Disease ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Atrophic Rhinitis ◽  
Standard Component ◽  
Patients At Risk ◽  
Nasal Physiology ◽  
Middle Meatus Antrostomy ◽  
The Impact

Endoscopic sinus surgery has gained acceptance in the otolaryngologic community as an effective and safe method of treating inflammatory disease of the paranasal sinuses. At our institution, partial endoscopic middle turbinectomy has become a standard component of the procedure and our experience is reported. Middle turbinectomy enhances surgical exposure, specific anatomic anomalies are more completely corrected, and subpopulations of patients at risk for failure because of their underlying disease enjoy decreased rates of synechiae formation and closure of the middle meatus antrostomy when followed over time. Photodocumentation of the surgical technique and a discussion regarding the impact of middle turbinectomy on normal nasal physiology are presented. It is reported that the procedure is safe, and no complications directly attributable to middle turbinectomy (including atrophic rhinitis) are reported in a series of 298 patients.

Functional Endoscopic Sinus Surgery in Patients with Chronic Sinusitis and Asthma

1994 ◽  
Vol 110 (6) ◽  
pp. 494-500 ◽  
Author(s):  
Gary J. Nishoka ◽  
Paul R. Cook ◽  
William E. Davis ◽  
Joel P. McKinsey
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Hospital Admissions ◽  
Chronic Sinusitis ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Office Visits ◽  
Sinus Disease ◽  
Physician Office ◽  
Steroid Dependent ◽  
The Impact

Twenty asthma patients who underwent functional endoscopic sinus surgery for chronic sinusitis were studied. Medical records and questionnaire data for these 20 patients were studied regarding the Impact of sinus disease and functional endoscopic sinus surgery on their asthma. We found that 95% reported that their asthma was worsened by their sinus disease (95% confidence interval, 0.74 to 0.99+), and 85% reported that functional endoscopic sinus surgery improved their asthma (0.60 to 0.97). Of the 13 patients who used both inhalers and systemic medication, 53.8% were able to eliminate some of their medication (0.21 to 0.79). Furthermore, 61.5% of these patients had a concomitant reduction in their inhaler use (0.28 to 0.85). All patients (six) who used only inhalers experienced a reduction in their inhaler use (0.54 to 1.00), and two patients were able to eliminate their inhalers completely. One of two patients who were steroid dependent was able to discontinue steroids after surgery. Of patients who used steroids intermittently (13), 53.8% were able to eliminate the use of steroids after surgery (0.21 to 0.79). Patients who required preoperative hospital admissions (4) and emergency room or urgent physician office visits (18) had a 75.0% and 81.3% ( p < 0.001) reduction in visits, respectively, after surgery. Because 43% of the cost of asthma is the result of hospitalizations and emergency department/urgent physician office visits, a significant Impact on health care costs can be realized with functional endoscopic sinus surgery in this patient population.

The impact of endoscopic sinus surgery on paranasal physiology in simulated sinus cavities

2016 ◽  
Vol 7 (3) ◽  
pp. 248-255 ◽  
Author(s):  
Ravi Jain ◽  
Haribalan Kumar ◽  
Merryn Tawhai ◽  
Richard Douglas
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
The Impact

The impact of intraoperative antiseptic nasal irrigation during endoscopic sinus surgery on early postoperative results.

2021 ◽  
Vol 75 (2) ◽  
pp. 1-5
Author(s):  
Piotr Rot ◽  
Kornel Szczygielski ◽  
Łukasz Skrzypiec ◽  
Dariusz Jurkiewicz
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Saline Solution ◽  
Chronic Sinusitis ◽  
Study Groups ◽  
Sinus Surgery ◽  
Control Groups ◽  
Antiseptic Treatment ◽  
Blinded Study ◽  
And Control ◽  
The Impact

Introduction: The main objective of the study was to determine the validity of intraoperative antiseptic treatment during endoscopic sinus surgery and the impact of such treatment on the postoperative outcomes. Material and Methods: Fifty-five patients with chronic sinusitis, qualified for surgical treatment were enrolled into the trial. It was designed as prospective, randomized, blinded study. The surgical procedures were performed on both sides, in the same scope. In the next stage, after opening, one side was flushed with saline solution, and the other side with octenidine solution. Results: The analysis showed a statistically significant reduction in postoperative crusting measured using the Lund-Kennedy scale between the test and control groups. Intraoperative lavage of the paranasal sinuses in both control and study groups showed an effect on the decreasing total number of positive postoperative cultures relative to preoperative. Discussion: Study showed a beneficial effect of the intervention consisting in rinsing with Octenisept on the reduction of crusting in the postoperative assessment.

scholarly journals Real-Time Operative Coding for Endoscopic Sinonasal Procedures: Quality Improvement in Practice

Sinusitis ◽  
2021 ◽  
Vol 5 (1) ◽  
pp. 32-44
Author(s):  
Bassem Mettias ◽  
Joshua D. Whittaker ◽  
Yujay Ramakrishnan
Keyword(s):  
Quality Improvement ◽  
Endoscopic Sinus Surgery ◽  
Human Error ◽  
Financial Impact ◽  
Sinus Surgery ◽  
Clinical Coding ◽  
Tertiary Centre ◽  
Chi Squared ◽  
The Impact ◽  
Control Firm

Objective: investigate the impact of an intraoperative coding sticker (ICS) on the accuracy of coding in endoscopic sinonasal procedures. Methods: this was a two-cycle audit evaluating the accuracy (and financial impact) of intraoperative coding of sinonasal procedures at a single tertiary centre. An ICS was introduced following consultation with the coding department. The accuracy of coding was measured before (cycle 1) and after (cycle 2) the ICS was introduced to a pilot firm and compared to a control firm. The ICS was used in 35% of the pilot firm cases. Results: the accuracy of clinical coding for endoscopic sinus surgery was 60% in the first cycle. Switching to the ICS has improved the accuracy in that firm from 50% in first cycle to 70% in the second cycle (p = 0.936; Chi-squared test). The median reimbursement for endoscopic sinus surgery was equal in both cycles of £1493.00 per patient. However, inaccurate coding resulted in £109.92 excess tariff payment in first cycle and £130.96 deficiency in the second cycle. Users of ICS reported it to be easy to use for clinicians, staff and clinical coders, whilst minimizing human error. Conclusions: The integration of the ICS improves the coding in sinonasal procedures and offers low-fidelity option alternative to live coding on the computer. The accuracy was not statistically significant in the study possibly due to the low number of observations. This can allow a precise coding standard with reliable service remuneration.

scholarly journals A role of anesthesiologist in reducing surgical bleeding in endoscopic sinus surgery

Medicina ◽  
2010 ◽  
Vol 46 (11) ◽  
pp. 730 ◽  
Author(s):  
Darius Činčikas ◽  
Juozas Ivaškevičius ◽  
Jonas Martinkėnas ◽  
Svajūnas Balseris
Keyword(s):  
General Anesthesia ◽  
Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Surgical Interventions ◽  
Number Of Patients ◽  
Surgical Bleeding ◽  
Surgical Field ◽  
The Impact

Visibility in the surgical field reduced by bleeding is one of the most important problems of endoscopic sinus surgery. It causes the risk of serious complications and reduces intervention quality. Recently, an increasing number of patients undergo surgical interventions under general anesthesia. Since general anesthesia may influence surgical bleeding in physiological and pharmacological pathways, the role of an anesthesiologist is extremely important in reducing bleeding. The impact of different anesthesia methods on quality of the surgical field is being investigated, and the most effective medicines are being sought.

scholarly journals Endoscopic sinus surgery: evolution and technical innovations

2009 ◽  
Vol 124 (3) ◽  
pp. 242-250 ◽  
Author(s):  
S Govindaraj ◽  
N D Adappa ◽  
D W Kennedy
Keyword(s):  
Endoscopic Sinus Surgery ◽  
Mucociliary Clearance ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Sinus Disease ◽  
Endoscopic Study ◽  
Technological Advances ◽  
Technical Innovations ◽  
The Impact ◽  
Nose And Sinuses

AbstractPrior to the introduction of functional endoscopic sinus surgery, several surgeons had begun to use telescopes to perform surgical procedures in the nose and sinuses. However, the central concepts of functional endoscopic sinus surgery evolved primarily from Messerklinger's endoscopic study of mucociliary clearance and endoscopic detailing of intranasal pathology. The popularity of a combination of endoscopic ethmoidectomy plus opening of secondarily involved sinuses grew rapidly during the latter part of the twentieth century, and endoscopic intranasal techniques began to expand to deal with pathology other than inflammation. We present a review of the evolution of knowledge regarding the pathogenesis of inflammatory sinus disease since that point in time, and of the impact that this has had on the management of inflammatory sinus disease. We also detail the technological advances that have allowed endoscopic intranasal techniques to expand and successfully treat other pathology, including skull base and orbital disease. In addition, we describe evolving technologies which may further influence development within this field.

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