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American Journal of Rhinology & Allergy

Tamer M Attia
BACKGROUND: Epistaxis is a very common ENT emergency with the idiopathic variety being the commonest type. Daflon® is a mixture of flavonoids with beneficial vascular effects that may help in the treatment of epistaxis. OBJECTIVE: To assess the efficacy and safety of Daflon® in the treatment of idiopathic epistaxis. METHODS: This is an open-label randomized clinical trial conducted on patients with idiopathic epistaxis comparing 1 group receiving Daflon® for 1 month and a second group receiving Daflon® for 3 months with a control group receiving nothing...
November 5, 2018: American Journal of Rhinology & Allergy
Sharon Tzelnick, Ethan Soudry
INTRODUCTION: Survival rates of solid organ transplant recipients are steadily increasing. Chronic immunosuppression is a key to sustain the transplanted organ. Thus, these patients are at a higher risk for fulminant disease and severe complications of rhinosinusitis (RS). Surprisingly, this has been scarcely discussed in the literature. OBJECTIVE: To analyze the characteristics and disease course of RS in solid organ transplant recipients. MATERIALS AND METHODS: Retrospective study...
October 26, 2018: American Journal of Rhinology & Allergy
Nuray Bayar Muluk, Cemal Cingi, Glenis K Scadding, Guy Scadding
OBJECTIVES: We reviewed the phenotyping and endotyping of chronic rhinosinusitis (CRS) and treatment options. METHODS: We searched PubMed, Google, Google Scholar, and the Proquest Central Database of the Kırıkkale University Library. RESULTS: Phenotypes are observable properties of an organism produced by the environment acting upon the genotype, that is, patients with a particular disorder are subgrouped according to common characteristics...
October 24, 2018: American Journal of Rhinology & Allergy
David L Choi, Kesava Reddy, Erik K Weitzel, Brian W Rotenberg, Allan Vescan, Almunder Algird, Doron D Sommer
BACKGROUND: Endoscopic skull base surgery continues to evolve in its indications, techniques, instrumentation, and postoperative care. As surgery of the skull base will often violate dura, intraoperative and postoperative cerebrospinal fluid (CSF) leak is not uncommon and represents a potential conduit for air and bacterial contamination. Patients with obstructive sleep apnea (OSA) requiring continuous positive airway pressure (CPAP) therapy undergoing skull base surgery represent a challenging group...
October 22, 2018: American Journal of Rhinology & Allergy
Regimantas Simuntis, Justinas Vaitkus, Ričardas Kubilius, Evaldas Padervinskis, Paulius Tušas, Marijus Leketas, Nora Šiupšinskienė, Saulius Vaitkus
Background Odontogenic maxillary sinusitis (OMS) and rhinogenic sinusitis (RS) are the main types of chronic rhinosinusitis (CRS) and have a significant impact on health-related quality of life (HRQL), but the difference in HRQL and symptom presentation between them has not been specifically evaluated to date. Obejctive: Our aim was to compare patterns of symptoms and HRQL disease-specific domains in patients affected with these 2 types of CRS. Methods A group of 201 patients with CRS (99 with rhinogenic and 102 with odontogenic origin) completed the Sino-Nasal Outcome Test 22 (SNOT-22) questionnaire before treatment...
October 12, 2018: American Journal of Rhinology & Allergy
Sally Nguyen, Sylvie Nadeau
Background Osteomas are rare benign and slow-growing osteogenic tumors mainly involving frontal and ethmoid sinuses. Objectives The primary objective of our study is to present the management of cases of giant frontal sinus osteomas. Secondarily, we describe our modified unilateral osteoplastic flap approach without obliteration to remove these osteomas. Methods Retrospective chart review at a tertiary academic center ("Hôpital de l'Enfant-Jésus") from July 2006 to October 2016. Demographics characteristics, tumor characteristics, presenting symptoms, frontal sinus surgery technique (osteoplastic flap, endoscopic surgery, or a combination of both), and outcomes of giant frontal sinus osteomas (≥30 mm) were recorded...
October 11, 2018: American Journal of Rhinology & Allergy
Jivianne T Lee, John DelGaudio, Richard R Orlandi
Background Recent years have witnessed significant expansion in office-based rhinology. This study assesses practice patterns of the American Rhinologic Society (ARS) membership regarding office-based rhinologic procedures. Methods A 24-item survey was disseminated to the ARS membership from March 15 to May 31, 2016. Results A total of 157 physicians (11.9%) completed the survey. Office-based rhinologic procedures were performed by 99% of respondents, with sinonasal debridements (99%), polypectomy (77%), and balloon sinus ostial dilation (56%) being the most common...
October 11, 2018: American Journal of Rhinology & Allergy
Dan Yaniv, Lena Shlossberg, Eitan Yaniv
Background The composite sinus stent was developed to support the nasal walls, stabilize the middle turbinate, and prevent adhesions following endoscopic sinus surgery (ESS). Objective This study sought to assess its safety and effectiveness. Methods A prospective clinical trial was conducted in a single medical center in 2016-2018. The study included 30 patients (64% males) with a mean age of 41.9 years, who were scheduled for bilateral ESS, were randomized to undergo composite sinus stent implantation for 14 to 28 days or middle meatus placement of a Telfa tampon for 2 to 3 days...
October 4, 2018: American Journal of Rhinology & Allergy
Charles A Riley, Christian P Soneru, Qasim Husain, Stacey T Gray, Brent A Senior, Abtin Tabaee
Background The number of rhinology fellowship programs has grown rapidly over the past decade. To date, no standardization or accreditation process exists, raising the potential for disparate programs. The attitudes of faculty regarding training are important to elucidate the educational experience of rhinology fellowship. Methods An anonymous, web-based survey of rhinology faculty assessed the subjective attitudes toward various domains of fellowship training including surgery, office-based procedures, research, and career development...
October 3, 2018: American Journal of Rhinology & Allergy
Albert H Zhou, Sei Y Chung, Michael J Sylvester, Michael Zaki, Peter S Svider, Wayne D Hsueh, Soly Baredes, Jean Anderson Eloy
Background Epistaxis is common in elderly patients, occasionally necessitating hospitalization for the management of severe bleeds. In this study, we aim to explore the impact of nasal packing versus nonpacking interventions (cauterization, embolization, and ligation) on outcomes and complications of epistaxis hospitalization in the elderly. Methods The 2008-2013 National Inpatient Sample was queried for elderly patients (≥65 years) with a primary diagnosis of epistaxis and accompanying procedure codes for anterior and posterior nasal packing or nonpacking interventions...
October 1, 2018: American Journal of Rhinology & Allergy
Nuray Bayar Muluk, Fazilet Altın, Cemal Cingi
Objectives Our intention was to review all material published to date regarding superantigens (SAgs) and allergy from an otorhinolaryngological viewpoint to understand this association more clearly. Methods We identified all materials published mentioning both SAg and allergic rhinitis (AR), chronic sinusitis, asthma, and atopic dermatitis (AD) that are indexed on PubMed, Google, or the ProQuest Central databases. Results Staphylococcus aureus is a significant bacterial pathogen in humans and has the ability to produce enterotoxins with superantigenic features...
September 25, 2018: American Journal of Rhinology & Allergy
Bing Zhou, Qian Huang, Jingwu Sun, Xuezhong Li, Weitian Zhang, Shunjiu Cui, Ping-Hung Shen, Chengshuo Wang, Zhenxiao Huang, Yi Dong, Na Liang
Background The intranasal endoscopic prelacrimal recess approach (PLRA) access to all aspects of the maxillary sinus while preserving the inferior turbinate and nasolacrimal duct and its use have been reported in the treatment of many maxillary sinus and lateral skull base diseases. Objective To retrospectively assess the effectiveness of a 10-year multicenter follow-up for the resection of inverted papilloma of the maxillary sinus (IPMS) via a PLRA. Methods A total of 71 patients were admitted and underwent IPMS excision via an intranasal endoscopic PLRA from 2003 to 2013...
September 25, 2018: American Journal of Rhinology & Allergy
Jeremie D Oliver, Kaiser G Lim, Erin K O'Brien
Background Computed tomography (CT) of the paranasal sinuses is the diagnostic reference standard for chronic rhinosinusitis and related inflammatory sinus pathology. Nasal nitric oxide (nNO) levels have been investigated as a diagnostic tool in sinus disease because it decreases with sinus obstruction. Objective The primary aim of the study was to determine the correlation of passive (baseline) and dynamic (humming) nNO to CT findings of sinus inflammation and to sinonasal symptoms measured by the modified Sinonasal Outcome Test (26 items) (SNOT-26)...
September 21, 2018: American Journal of Rhinology & Allergy
Philip G Chen, Ahmed Bassiouni, Christine B Taylor, Alkis J Psaltis, Abdulaziz Alrasheed, Bozena Wrobel, Marc A Tewfik, K Christopher McMains
Background The Frontal Sinus Masterclass (FSMC) is an effective method for teaching frontal sinus anatomy. A third party developed new software using the same 3-dimensional building block concept. The authors sought to determine whether the use of the software for the educational module yielded similar results to the original FSMC, which used wooden blocks. Methods The study was performed at a sinus course for residents. A precourse test assessed the ability to decipher frontal sinus anatomy prior to the course...
September 19, 2018: American Journal of Rhinology & Allergy
Anvesh R Kompelli, Tyler A Janz, Nicholas R Rowan, Shaun A Nguyen, Zachary M Soler
Background Chronic rhinitis impacts 60 million Americans and is associated with significant costs for patients. Although medical treatments are first line, some patients require surgical intervention such as vidian or posterial nasal neurectomy. Previous reviews have investigated the role of surgical management in chronic rhinitis, but none have investigated a longstanding treatment with recent interest: cryotherapy. Objective To identify the safety, efficacy, and durability of treatment response of cryotherapy in treating chronic rhinitis...
September 19, 2018: American Journal of Rhinology & Allergy
Derek Wu, Jason Wasserman, Marina Boruk
Background The use of systemic corticosteroids remains controversial in the treatment of orbital complications of sinusitis. Objective To compare and contrast the current practice patterns of the use of systemic corticosteroid in the management of orbital complications of acute bacterial rhinosinusitis (ABRS) among fellowship-trained members of American Society of Pediatric Otolaryngology (ASPO) and American Rhinologic Society (ARS). Study Design Cross-sectional survey. Methods A web-based survey was electronically distributed to 497 members of ASPO and 845 members of ARS focusing on the practice habits and opinions regarding the use of systemic corticosteroids in the treatment of ABRS with orbital complications in children and adults...
August 30, 2018: American Journal of Rhinology & Allergy
Peter Papagiannopoulos, Hannah N Kuhar, Anish Raman, Ashwin Ganti, Paolo Gattuso, Pete S Batra, Bobby A Tajudeen
Background Chronic rhinosinusitis (CRS) is a frequently observed condition in patients with immunodeficiency secondary to immunosuppressive medications. The histologic features of CRS among patients undergoing immunosuppressive treatment have yet to be determined and may have important implications on understanding the pathophysiology of the disease process. Methods A structured histopathology report was utilized to analyze sinus tissue removed during functional endoscopic sinus surgery (FESS). Histopathology variables, Lund-Mackay score (LMS), and sinonasal outcome test 22 scores were compared among patients with CRS on immunosuppressive therapy (CRSi), CRS without nasal polyps (CRSsNP) patients, and CRS with nasal polyps (CRSwNP) patients...
August 28, 2018: American Journal of Rhinology & Allergy
Karam W Badran, Jeffrey D Suh, Nikan Namiri, Bozena Wrobel, Elisabeth H Ference
Background Pediatric benign paranasal sinus osteoneogenic tumors have previously been difficult to treat due to the surgical constraints of the developing skull. Progression may lead to intracranial complications or orbital and optic nerve compression. Objective To assess the presentation and management of benign paranasal sinus osteoneogenic tumors. Methods Systematic review of the symptoms and surgical treatment of these lesions, and a case series of 2 adolescents with osteomas impinging on the orbit treated with a multiportal approach...
August 22, 2018: American Journal of Rhinology & Allergy
Yan Liu, Zhimin Xing, Junge Wang, Congli Geng
Background Allergen-specific immunotherapy (AIT) is an effective treatment for allergic rhinitis (AR). During the course of AIT, many biomarkers in body fluids change. It is necessary to find effective indicators of AIT. Objective To examine levels of salivary immunoglobulin A, E, and G4 (IgA, IgE, and IgG4, respectively) specific to Dermatophagoides pteronyssinus (Dp-IgA, Dp-IgE, and Dp-IgG4, respectively) and their changes in AR patients undergoing subcutaneous immunotherapy (SCIT). Methods This study included 82 patients with AR sensitized only to Dp and 14 healthy controls...
August 20, 2018: American Journal of Rhinology & Allergy
Katherine R Keefe, Minhtran Ngo-Howard, Michael P Platt, Christopher D Brook
Introduction Subcutaneous immunotherapy (SCIT) is an effective treatment for allergic disease such as allergic rhinitis and asthma. Reported adherence rates to SCIT have been low, ranging between 50% and 89%. This study sought to evaluate compliance to SCIT in an urban "safety net," tertiary care center, and to evaluate for disparities in compliance based upon insurance and socioeconomic status. Methods A retrospective chart review of SCIT patients between 2003 and 2016 was performed. Demographic data, insurance carriers, and comorbidities were collected...
August 20, 2018: American Journal of Rhinology & Allergy
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