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https://www.readbyqxmd.com/read/27888473/nasal-mucosa-healing-after-endoscopic-sinus-surgery-in-chronic-rhinosinusitis-of-elderly-patients-role-of-topic-alpha-tocopherol-acetate
#1
Domenico Testa, Giuseppina Marcuccio, Giorgio Panin, Andrea Bianco, Domenico Tafuri, Francesco Zappoli Thyrion, Michele Nunziata, Pasquale Piombino, Germano Guerra, Gaetano Motta
BACKGROUND: Chronic rhinosinusitis (CRS) in European country ranges in elderly patients from 4.5 to 12% of population and has a significant effect on quality of life. In these patients, rhinosinusitis is linked to immune functions changes with age and to mucosal paraphysiological alterations such as crusting formations with atrophic epithelium, variations of nasal airflow and modifications of the mucociliary clearance. Failure of medical treatments leads to surgery in patients with persistent symptoms and radiographic signs of CRS...
November 25, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27846022/postoperative-care-in-endoscopic-sinus-surgery-a-critical-review
#2
Philippe Eloy, Peter Andrews, Anne-Lise Poirrier
PURPOSE OF REVIEW: Chronic rhinosinusitis with and without nasal polyps is a common disease affecting people all over the world. Functional endoscopic sinus surgery (FESS) has become the gold standard treatment for medically refractive disease. Postoperative care is recommended by international leaders as an important part of the patient's management. This article is a critical review and discussion focusing on postoperative care, which is based on expert opinion, clinical studies, randomized controlled trials and meta-analysis studies...
November 14, 2016: Current Opinion in Otolaryngology & Head and Neck Surgery
https://www.readbyqxmd.com/read/27844221/moroccan-adaptation-and-validation-of-the-rhinosinusitis-quality-of-life-survey
#3
Taoufik Adouly, Choaib Adnane, Amine Khallouk, Meriem Chenguir, Sami Rouadi, Reda Lah Abada, Mohamed Roubal, Mohamed Mahtar
The aim of this study was to validate the Moroccan translation and sociocultural adaptation of the RhinoQOL questionnaire. The questionnaires were translated into Moroccan and then translated back into English. The final version was administered twice to an asymptomatic control population (n = 50) and once to a patients with chronic rhinosinusitis (CRS) undergoing functional endoscopic sinus surgery (FESS) (n = 99). Both of the groups answered the questionnaire before and one year after surgery. The psychometric properties, reliability, validity with correlation to other clinical instruments and responsiveness to treatment, were analyzed...
November 14, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27822702/effects-of-mobile-phone-wechat-services-improve-adherence-to-corticosteroid-nasal-spray-treatment-for-chronic-rhinosinusitis-after-functional-endoscopic-sinus-surgery-a-3-month-follow-up-study
#4
Shaoyan Feng, Zibin Liang, Rongkai Zhang, Wei Liao, Yuan Chen, Yunping Fan, Huabin Li
The objective of the study is to investigate the impact of receiving daily WeChat services on one's cell phone on adherence to corticosteroid nasal spray treatment in chronic rhinosinusitis (CRS) patients after functional endoscopic sinus surgery (FESS). This study was a two-arm, randomized, follow-up investigation. Patients with chronic rhinosinusitis with/without nasal polyps following bilateral FESS were randomised to receive, or to not receive, daily WeChat service on their cell phone to take corticosteroid nasal spray treatment...
November 7, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27799837/utility-of-preoperative-in-vitro-platelet-function-tests-for-predicting-bleeding-risk-in-patients-undergoing-functional-endoscopic-sinus-surgery
#5
A-Jin Lee, Sang-Gyung Kim
BACKGROUND: It is necessary to predict the bleeding risk in patients undergoing functional endoscopic sinus surgery (FESS). To evaluate the adequacy of primary hemostasis, preoperative hemostatic screening tests are used. In the present study, we determined whether there is a positive correlation between prolonged closure time (CT) with collagen/epinephrine (CT-epi), prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (aPTT) and bleeding during FESS...
2016: Journal of Blood Medicine
https://www.readbyqxmd.com/read/27792098/sinus-disventilation-and-atrophy-of-the-upper-maxilla-a-combined-surgical-approach-is-possible
#6
Orlando Cipriani, Valentino Vellone, Paolo Arangio, Fabio Della Rocca
This study aims to assess the effectiveness and reliability of a new combined approach to treat the maxillary atrophy and chronic rhinosinusitis (CRS) and other rhino-sinusal pathologies. This 1-step procedure consisting functional endoscopic sinus surgery (FESS) and maxillary sinus-lift with simultaneous implant placement for patients with a severe reabsorbed maxillary bone and sinuses' disease. In case of disventilation and maxillary sinuses flogosis, the mucociliary clearance and physiological ventilation have to be aided, in order to make a safer and predictable sinus-lift surgery...
October 27, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27746840/early-and-delayed-effect-of-functional-endoscopic-sinus-surgery-on-intraocular-pressure
#7
Mohammad Waheed El-Anwar, Mohammad Abdelhady, Hazem Saeed Amer, Manar A Ghali
Introduction Due to the close anatomical relationship between the paranasal sinuses and the orbit, involvement or injury of the orbit from paranasal sinuses procedures may occur. Objectives We aimed to study the early and delayed effect of endoscopic sinus surgery on intraocular pressure (IOP). Methods We included in the study 38 patients with chronic rhinosinusitis (CRS), undergoing FESS. We performed FESS with the standard anterior to posterior approach. We measured IOP at the same time one day before surgery as well as day 1 and 6 weeks after surgery...
October 2016: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/27731501/deliberate-hypotension-with-propofol-under-anaesthesia-for-functional-endoscopic-sinus-surgery-fess
#8
REVIEW
Polpun Boonmak, Suhattaya Boonmak, Malinee Laopaiboon
BACKGROUND: Functional endoscopic sinus surgery (FESS) is a minimally invasive technique that is used to treat chronic sinusitis. Small bleeding areas can reduce operative visibility and result in destruction of surrounding structures. Deliberate hypotension (lowering the mean arterial blood pressure to between 50 and 65 mm Hg in normotensive patients) using a range of pharmacological agents during general anaesthesia reduces blood loss in many operations. This review was originally published in 2013 and updated in February 2016...
October 12, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27720506/effect-of-the-premedication-with-oral-clonidine-on-surgical-comfort-in-patients-undergoing-fess-due-to-advanced-nasal-polyposis-a-randomized-double-blind-clinical-trial
#9
Selahattin Tugrul, Remzi Dogan, Erol Senturk, Ilker Kocak, Seda Sezen, Mefkur Bakan, Orhan Ozturan
: OBJECTıVE: The objective of this randomized double blind study was to evaluate effect of the premedication with oral clonidine on blood pressure, cleaning of surgical site and bleeding in the ESS performed due to advanced NP. METHODS: A total of 52 patients who underwent functional endoscopic sinus surgery (FESS) due to Kennedy grade 4 nasal polyposis (NP) were included. Patients were randomized into two groups. Group 1 (n=26) received 0.2mg oral clonodine one hour before the operation in addition to standard anesthesia procedure...
August 30, 2016: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/27687369/magnesium-sulfate-or-diltiazem-as-adjuvants-to-total-intravenous-anesthesia-to-reduce-blood-loss-in-functional-endoscopic-sinus-surgery
#10
Ajisha Aravindan, Rajeshwari Subramanium, Anjolie Chhabra, Priyankar K Datta, Vimi Rewari, Suresh C Sharma, Rakesh Kumar
STUDY OBJECTIVE: This study was designed to know whether addition of magnesium sulfate (MgSO4) or diltiazem to total intravenous anesthesia (TIVA) (propofol) aided reduction in blood loss during functional endoscopic sinus surgery (FESS). The secondary outcomes measured were surgeon's assessment of the surgical field and hemodynamics. DESIGN: Randomized, double-blinded, placebo-controlled trial. SETTING: Operating room. PATIENTS: Forty-five American Society of Anesthesiologists I and II adult patients (18-60years) undergoing FESS...
November 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27665096/using-preoperative-unsupervised-cluster-analysis-of-chronic-rhinosinusitis-to-inform-patient-decision-and-endoscopic-sinus-surgery-outcome
#11
Choaib Adnane, Taoufik Adouly, Amine Khallouk, Sami Rouadi, Redallah Abada, Mohamed Roubal, Mohamed Mahtar
The purpose of this study is to use unsupervised cluster methodology to identify phenotype and mucosal eosinophilia endotype subgroups of patients with medical refractory chronic rhinosinusitis (CRS), and evaluate the difference in quality of life (QOL) outcomes after endoscopic sinus surgery (ESS) between these clusters for better surgical case selection. A prospective cohort study included 131 patients with medical refractory CRS who elected ESS. The Sino-Nasal Outcome Test (SNOT-22) was used to evaluate QOL before and 12 months after surgery...
September 24, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27625128/-effect-of-lamina-papyracea-ingression-on-orbito-ocular-complications-after-functional-endoscopic-sinus-surgery
#12
Y Wang, Y J Zhang, H H Zhu
OBJECTIVE: To observe the effect of lamina papyracea ingression on orbito-ocular complications after functional endoscopic sinus surgery (FESS). METHODS: Data of computed tomography (CT) and post-FESS complications were analysed in 483 patients undergoing FESS from October 2013 to November 2015. According to the condition of lamina papyracea, these patients were divided into lamina papyracea ingression group (ingression group) and normal group. All data were analyzed to observe the effect of lamina papyracea ingression on orbito-ocular complications...
August 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27614778/effect-of-paranasal-anatomical-variants-on-outcomes-in-patients-with-limited-and-diffuse-chronic-rhinosinusitis
#13
Johnny Wu, Ravi Jain, Richard Douglas
OBJECTIVE: The role of anatomical variants of the paranasal sinuses in the aetiology of chronic rhinosinusitis (CRS) is not well understood. Furthermore, the effect of anatomical variants on long-term outcomes has not been described. This study aims to assess the effects of anatomical variants of the middle meatus on patients with limited and diffuse CRS. METHODS: A database analysis was conducted for patients with limited sinusitis (undergoing anterior FESS) and patients with diffuse sinusitis (undergoing complete FESS) between 2009 and 2013...
September 8, 2016: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/27577988/predicting-hand-function-in-older-adults-evaluations-of-grip-strength-arm-curl-strength-and-manual-dexterity
#14
Chiung-Ju Liu, Deana Marie, Aaron Fredrick, Jessica Bertram, Kristen Utley, Elaine Ewing Fess
BACKGROUND: Hand function is critical for independence in activities of daily living for older adults. AIMS: The purpose of this study was to examine how grip strength, arm curl strength, and manual dexterous coordination contributed to time-based versus self-report assessment of hand function in community-dwelling older adults. METHODS: Adults aged ≥60 years without low vision or neurological disorders were recruited. Purdue Pegboard Test, Jamar hand dynamometer, 30-second arm curl test, Jebsen-Taylor Hand Function Test, and the Late-Life Function and Disability Instrument were administered to assess manual dexterous coordination, grip strength, arm curl strength, time-based hand function, and self-report of hand function, respectively...
August 30, 2016: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/27508130/functional-endoscopic-sinus-surgery-versus-balloon-sinuplasty-with-ethmoidectomy-a-2-year-analysis-in-pediatric-chronic-rhinosinusitis
#15
Prasad John Thottam, Chistopher M Metz, Monica C Kieu, James Dworkin, Janardhan Jagini, Johnathan N Bangiyev, Deepak Mehta
To evaluate the 2-year post-operative outcomes of pediatric patients with chronic rhinosinusitis (CRS) treated with balloon catheter sinuplasty (BCS) and ethmoidectomy compared to functional endoscopic sinus surgery (FESS). Two-group, retrospective cohort study of 28 children with CRS was performed. Of these 28 participants, 15 were treated with traditional FESS (53.6 %) and 13 (46.4 %) underwent traditional ethmoidectomy with balloon sinuplasty. Pre-operative and 2-year postoperative total symptom scores and medications were compared...
September 2016: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/27470115/surgical-conditions-during-fess-comparison-of-dexmedetomidine-and-remifentanil
#16
Safinaz Karabayirli, Kadriye Serife Ugur, Ruveyda Irem Demircioglu, Bunyamin Muslu, Burhanettin Usta, Huseyin Sert, Nebil Ark
To compare dexmedetomidine with remifentanil in functional endoscopic sinus surgery (FESS) in regards to intra-operative bleeding, anesthetic consumption and post-operative recovery. Randomized, double blind study. Tertiary care medical center. Fifty patients with nasal polyposis who had been scheduled for FESS were randomly divided into two groups. In group D (n = 25), dexmedetomidine 1 µg/kg infused intravenous (IV) over 10 min before anesthesia induction, followed by a continuous of 0.7 µg/kg/h infusion during operation...
July 28, 2016: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27466857/advances-in-surgery-extended-procedures-for-sinonasal-polyp-disease
#17
Jessica E Southwood, Todd A Loehrl, David M Poetker
In the standard functional endoscopic sinus surgery (FESS) procedure, the amount of dissection is often determined by the extent of disease with the goal to preserve as much normal mucosa as possible while restoring ventilation and reestablishing mucociliary clearance. A subset of patients with chronic rhinosinusitis with nasal polyposis (CRSwNP), however, may continue to have persistent mucosal inflammatory and aggressive polyp regrowth despite standard FESS and maximal pharmacology therapy, leading to recurrent and recalcitrant disease...
2016: Advances in Oto-rhino-laryngology
https://www.readbyqxmd.com/read/27428786/-a-souvenir-from-a-fess
#18
A A Lehner, C Schlegel-Wagner
No abstract text is available yet for this article.
September 2016: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/27400458/incidence-of-and-risk-factors-for-chronic-opioid-use-among-opioid-naive-patients-in-the-postoperative-period
#19
Eric C Sun, Beth D Darnall, Laurence C Baker, Sean Mackey
IMPORTANCE: Chronic opioid use imposes a substantial burden in terms of morbidity and economic costs. Whether opioid-naive patients undergoing surgery are at increased risk for chronic opioid use is unknown, as are the potential risk factors for chronic opioid use following surgery. OBJECTIVE: To characterize the risk of chronic opioid use among opioid-naive patients following 1 of 11 surgical procedures compared with nonsurgical patients. DESIGN, SETTING, AND PARTICIPANTS: Retrospective analysis of administrative health claims to determine the association between chronic opioid use and surgery among privately insured patients between January 1, 2001, and December 31, 2013...
September 1, 2016: JAMA Internal Medicine
https://www.readbyqxmd.com/read/27392210/real-life-study-showing-uncontrolled-rhinosinusitis-after-sinus-surgery-in-a-tertiary-referral-center
#20
J Van der Veen, S F Seys, M Timmermans, P Levie, M Jorissen, W J Fokkens, P W Hellings
RATIONALE: The European Position Paper on Sinusitis (EPOS) guidelines provide composite criteria to evaluate chronic rhinosinusitis (CRS) control, taking into consideration the severity of patients' symptoms, aspect of nasal mucosa and medical intake as parameters of chronic rhinosinusitis (CRS) control. OBJECTIVES: To study the degree of CRS control using novel EPOS control criteria at 3-5 years after a functional endoscopic sinus surgery (FESS), and correlate these data to symptoms scores...
July 8, 2016: Allergy
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