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Functional endoscopic sinus

Anish Raman, Peter Papagiannopoulos, Hannah N Kuhar, Paolo Gattuso, Pete S Batra, Bobby A Tajudeen
BACKGROUND: Chronic rhinosinusitis (CRS) is a heterogeneous disease process that can arise in the context of odontogenic disease from the maxillary teeth. The histopathologic features of odontogenic CRS (CRSo) have yet to be determined and may have important implications on disease management and need for escalation of therapy. OBJECTIVES: The objectives of this study are to characterize the histopathologic features of CRSo and determine whether the inflammatory profile of CRSo contributes to its recalcitrance to medical therapy and need for surgery in a subset of patients with this disease...
November 15, 2018: American Journal of Rhinology & Allergy
Min Zhou, Ke-Jun Zuo, Zhao-Feng Xu, Wei-Jie Guan, Li-Jie Jiang, Xin Luo, Rui Zheng, Dang Wang, Yu-Jie Cao, Yang Chen, Fei Yang, Chen Liu, Jian-Bo Shi, Yin-Yan Lai
BACKGROUND: Cellulose powder (CP) has been reported as a safe and effective complementary treatment for allergic rhinitis (AR). Currently, CP has gained increasing application for clinical management worldwide, particularly in China. However, studies focusing on the effect of CP on normal human nasal epithelial cells (hNECs) and ciliary function are lacking. Here, we aimed to explore the adverse effects of CP on the activity and ciliary function of hNECs. METHODS: We biopsied ethmoid sinus or middle turbinate tissues during surgical resection from control subjects who underwent endoscopic sinus surgery for diseases other than AR...
November 8, 2018: International Archives of Allergy and Immunology
Megan R Silas, Johnathan V Jeffers, Asim V Farooq, Jacquelynne P Corey, Hassan A Shah
The authors report the use of a 0.35-mm-thickness nylon implant for medial orbital wall reconstruction to facilitate functional endoscopic sinus surgery (FESS) for severe erosive polypoidal sinus disease while minimizing iatrogenic injuries to the orbital contents. A retrospective chart review identified 4 patients with extensive polypoidal sinus disease who underwent medial orbital wall reconstruction in the setting of FESS. All patients underwent successful reconstruction of bilateral eroded medial orbital walls using a 0...
November 5, 2018: Ophthalmic Plastic and Reconstructive Surgery
Andrea A Tooley, Kyle J Godfrey, Michael Kazim
Orbital decompression surgery and medical therapy for thyroid eye disease (TED) have evolved over the past 150 years and afforded the opportunity to restore pre-disease appearance and visual function. This manuscript explores the past 150 years of surgical innovation for the treatment of TED. The "Age of Surgical Heroism" spans the time from 1888 to 1979 during which the pioneers of orbital decompression developed lateral orbitotomy, transcranial decompression, paranasal sinus decompression, and transantral decompression despite an incomplete understanding of the pathophysiology of both TED and a limited ability to non-invasively assess their patients...
November 2, 2018: Eye
Seok-Hoo Jeong, Yu Jin Kim, Yoon Jae Kim, Ki Deok Park, Eui Joo Kim, Jun-Won Chung, Kwang An Kwon, Kyoung Oh Kim, Dong Kyun Park, Jung Ho Kim, Jae Hee Cho
BACKGROUND: Dysphagia associated with neurologic disorders is a problem worldwide. However, few studies have assessed the efficacy of endoscopic botulinum toxin injections into the cricopharyngeal muscle using a pharyngoscope. METHODS: Fourteen patients who received an endoscopic botulinum toxin injection due to cricopharyngeal muscle dysfunction and a neurological disorder from 2006 to 2017 were retrospectively reviewed at a single tertiary medical center. The toxin was injected at a 100 international unit (IU) total dose under direct endoscopic vision...
October 24, 2018: Scandinavian Journal of Gastroenterology
Paolo Marchica, Franco Bassetto, Vincenzo Vindigni, Roberto Galici, Francesco Dispenza, Salvatore Gallina, Riccardo Speciale
Objective: To examine the difference between outcomes in the administration of concurrent endoscopic sinus surgery (ESS), septoplasty (SP), and rhinoplasty (RP) and concurrent ESS and SP in 1 single surgical session. Methods: Patients who underwent concurrent ESS and SP from September 2004 to July 2015 were identified. Furthermore, patients among them who underwent functional primary RP were selected. Subjects who had been administered concurrent ESS, SP, and RP (primary RP) were matched for sex, age, sinonasal surgical procedures for treatment of chronic rhinosinusitis with patients underwent concurrent ESS and SP, used as control subjects...
September 2018: Plastic and Reconstructive Surgery. Global Open
Kanako Yoshida, Tetsuji Takabayashi, Yoshimasa Imoto, Masafumi Sakashita, Norihiko Narita, Shigeharu Fujieda
BACKGROUND: In Eosinophilic chronic rhinosinusitis (ECRS), it is difficult to estimate the refractoriness and recurrence risk for each patient. Fraction of exhaled nitric oxide (FeNO) is known as a biomarker of eosinophilic inflammation in lower airway. It has been reported that nasal NO has some crucial functions in the upper and lower airways. However, in upper airway, paranasal sinuses, the usefulness of NO measurement remains controversial. The purpose of this study is to identify the usefulness of nasal NO measurement in ECRS and the involvement of nasal NO in the pathogenesis of ECRS...
October 19, 2018: Allergology International: Official Journal of the Japanese Society of Allergology
Yuta Murakami, Shinya Jinguji, Yugo Kishida, Masahiro Ichikawa, Taku Sato, Masazumi Fujii, Jun Sakuma, Fumi Murakami, Kiyoshi Saito
We report a case of a young male who received multiple surgical treatments for repeated recurrence of skull base mesenchymal chondrosarcoma (MC). When the patient was 18 years old, we subtotally removed the skull base MC and he was treated with stereotactic radiosurgery for remnant tumors in the left cavernous sinus. After 30 months, we removed residual tumors that had regrown partially, via combined endonasal endoscopic and orbitozygomatic approaches. Over the next 65 months, the patient refused radical resection, and received six salvage surgeries, two stereotactic radiotherapies, and five stereotactic radiosurgeries for repeated recurrence...
October 2018: NMC Case Report Journal
Thiago Freire Pinto Bezerra, Aldo Stamm, Wilma Teresinha Anselmo-Lima, Marco Aurélio Fornazieri, Nelson D'Ávila Melo, Leonardo Balsalobre, Geraldo Pereira Jotz, Henrique Zaquia Leão, André Alencar Araripe Nunes, Alexandre Felippu, Antonio Carlos Cedin, Carlos D Pinheiro-Neto, Diego Lima Oliveira, Eulalia Sakano, Eduardo Macoto Kosugi, Elizabeth Araújo, Fabiana Cardoso Pereira Valera, Fábio de Rezende Pinna, Fabrizio Ricci Romano, Francine Grecco de Melo Pádua, Henrique Faria Ramos, João Telles, Leonardo Conrado Barbosa de Sá, Leopoldo Marques D'Assunção Filho, Luiz Ubirajara Sennes, Luis Carlos Gregório Gregório, Marcelo H Sampaio, Marco César Jorge Dos Santos, Marco Franca, Marcos Mocellin, Marcus Miranda Lessa, Melissa Ameloti G Avelino, Miguel Tepedino, Nilvano Alves de Andrade, Otavio B Piltcher, Renato Roithmann, Renata Mendonça Pilan, Roberto Campos Meireles, Roberto Eustáquio Guimarães, Rodrigo de Paula Santos, Rogério Pezato, Shirley Pignatari, Tatiana Telles Abdo, Victor Nakajima, Washington Almeida, Richard L Voegels
INTRODUCTION: Functional endonasal endoscopic surgery is a frequent surgical procedure among otorhinolaryngologists. In 2014, the European Society of Rhinology published the "European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses", aiming to unify the terms in the English language. We do not yet have a unified terminology in the Portuguese language. OBJECTIVE: Transcultural adaptation of the anatomical terms of the nose and paranasal cavities of the "European Anatomical Terminology of the Internal Nose and Paranasal Sinuses" to Portuguese...
September 18, 2018: Brazilian Journal of Otorhinolaryngology
Eriko Ishihara, Masahiro Toda, Ryota Sasao, Hiroyuki Ozawa, Shin Saito, Kaoru Ogawa, Kazunari Yoshida
BACKGROUND: Visual field deterioration caused by secondary empty sella after cabergoline therapy for prolactinoma is a rare event. Chiasmapexy is performed to treat empty sella syndrome. Although various materials have been used for the elevation of the optic chasm, the most appropriate material remains to be established. Here, we describe the efficiency of chiasmapexy for empty sella syndrome following dopamine agonist treatment and the utility of septal cartilage and sphenoidal sinus bone as materials for chiasmapexy...
October 10, 2018: World Neurosurgery
Jean-Nicolas Gallant, Margaret B Mitchell, Frank W Virgin
PURPOSE OF REVIEW: There is a lack of consensus with regards to the diagnosis and treatment of sinus disease in children with cystic fibrosis. Here, we review literature from the past 18 months in order to highlight the way forward in this contentious field. RECENT FINDINGS: Most of the literature (from the past 18 months) on sinus disease in pediatric cystic fibrosis focused on treatment approaches, bacteriology and immunology, and health-related quality-of-life (HRQOL) instruments...
December 2018: Current Opinion in Otolaryngology & Head and Neck Surgery
Mohamed Ahmed Hamed
Background: Intraoperative bleeding impairs surgical field visibility during functional endoscopic sinus surgery (FESS); several methods have been used to decrease blood loss and improve surgical field, one of them is usage of hypotensive anesthetic agents. Aim: We intended to compare magnesium sulfate with lidocaine, regarding their efficiency in inducing controlled hypotension and providing a better surgical field exposure during FESS and the influence of their usage on extubation time...
July 2018: Anesthesia, Essays and Researches
Daniele Maria Gibelli, Michaela Cellina, Stefano Gibelli, Paolo Schiavo, Antonio Giancarlo Oliva, Giovanni Termine, Virgilio F Ferrario, Claudia Dolci, Chiarella Sforza
Improvements in computed tomography and in functional endoscopic sinus surgery have recently increased interest toward paranasal sinus anatomy and anatomic variations that can be observed in patients affected by sinusitis. Isolated sphenoid sinusitis is a relatively rare pathology, often related to nonspecific symptoms, therefore making diagnosis difficult. The correlation between this type of sinusitis and anatomical variants remains unclear.The authors' aim was to retrospectively revise paranasal sinuses computed tomography scans of patients affected by sphenoid sinusitis, compared with a control group, analyzing the types of sphenoid sinus and the presence of aberrant pneumatization, and performing a segmentation of the sphenoid sinuses to calculate the volumes...
November 2018: Journal of Craniofacial Surgery
Hakim Benkhatar, Idir Khettab, Philippe Sultanik, Ollivier Laccourreye, Pierre Bonfils
The aim of the present study was to determine the prevalence of long-term mucocele development after functional endoscopic sinus surgery (FESS) for nasal polyposis, to search for a statistical relationship with preoperative variables and to analyze the management of this complication. A retrospective analysis of 153 patients who underwent FESS for nasal polyposis, with a minimum of 7 years of follow-up, was performed. Mucocele diagnosis was based on regular clinical and radiologic evaluation. Univariate and multivariate statistical analysis was performed...
September 2018: Ear, Nose, & Throat Journal
C Scott Brown, Ralph Abi Hachem, Avani Pendse, John F Madden, Howard W Francis
OBJECTIVES: The aim of this study was to further characterize a newly described neoplasm, low-grade papillary Schneiderian carcinoma, occurring simultaneously in the sinonasal cavity and mastoid. Additionally, the authors review the only 2 similar cases within the literature and describe the common clinical features, radiographic findings, and pathologic characteristics of this exceptionally rare disease process. METHODS: Chart review for single patient, review of literature...
December 2018: Annals of Otology, Rhinology, and Laryngology
Fabio Pagella, Enzo Emanuelli, Alessandro Pusateri, Daniele Borsetto, Diego Cazzador, Roberta Marangoni, Eugenia Maiorano, Alessia Zanon, Cristina Cogliandolo, Andrea Ciorba, Stefano Pelucchi
OBJECTIVE: To review the clinical features of pediatric patients affected by antrochoanal polyps (ACPs) and surgically treated at three University settings. METHODS: Retrospective study. The present research includes the clinical data of subjects affected by ACPs, aged <18 years and referred to three ENT Departments, between January 1st 2003 and September 30th 2016. All patients underwent nasal endoscopy and sinonasal imaging; all subjects have been treated surgically...
November 2018: International Journal of Pediatric Otorhinolaryngology
Shuangxi Liu, Na Che, Kai Fan, Feifei Xu, Mali Qin, Ruxin Zhang, Rongmin Ge, Shaoqing Yu
BACKGROUND: Endoscopic surgery and postoperative glucocorticoids may effectively control inflammation in patients with chronic rhinosinusitis (CRS). However, some patients who are insensitive to glucocorticoids have a poor prognosis. Studies have shown that the GLCCI1 polymorphism is related to sensitivity to glucocorticoids, but no study has been conducted in China to investigate the relationship between GLCCI1 polymorphisms and postoperative prognosis of CRS. METHODS: A total of 208 CRS patients received routine functional endonasal sinus surgery and then were treated with glucocorticoids...
September 26, 2018: International Forum of Allergy & Rhinology
Gaofei Yin, Wei Guo, Xiaohong Chen, Zhigang Huang
Mucosal melanoma of the nasal cavity and paranasal sinus is always associated with poor prognosis, and 5-year overall survival does not exceed 40%. Our study aimed to compare the intraoperative conditions and prognosis of different surgical techniques to determine the optimum surgical approach for patients with mucosal melanoma of the nasal cavity and paranasal sinus. This was a retrospective analysis of 54 patients who received treatment at Beijing Tongren Hospital between January 2004 and December 2016. The patients were divided into two groups: those who received endoscopic surgery and those who underwent traditional open resection...
September 25, 2018: Melanoma Research
Katsuhiro Mizutani, Takenori Akiyama, Kazunari Yoshida, Masahiro Toda
An understanding of the anatomy and function of the skull base venous channels is fundamentally important for safe performance of endoscopic surgery for skull base lesions. This review focuses on four skull base venous channels-namely, the intercavernous sinuses, basilar plexus, osseous veins, and inferior petroclival vein-because these have been less recognized by neurosurgeons than other major venous channels such as the inferior petrosal sinus. We reviewed the literature concerning these four venous channels and discussed their anatomy and function...
September 21, 2018: World Neurosurgery
Jahangir Ghorbani, Shima Arastou, Ali Safavi Naeini, Nasim Raad, Mahboobeh Karimi Galougahi, Alireza Jahangirifard, Nader Akbari Dilmaghani
Introduction: Bleeding during functional endoscopic sinus surgery (FESS) is an important issue for both anesthesiologists and surgeons as it can affect the safety and efficiency of the procedure. We compared the efficacy of tranexamic acid (TXA) and clonidine in reducing blood loss and improving surgical field visualization during FESS. Materials and Methods: In a double-blind, randomized, clinical trial, 52 patients, American Society of Anesthesiologists (ASA) physical status 1-2, aged 13-75 years, suffering from rhinosinusitis with or without polyposis, and who were candidates for FESS, were enrolled...
September 2018: Iranian Journal of Otorhinolaryngology
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