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https://www.readbyqxmd.com/read/29770875/complications-in-septoplasty-based-on-a-large-group-of-5639-patients
#1
Justyna Dąbrowska-Bień, Piotr Henryk Skarżyński, Iwonna Gwizdalska, Katarzyna Łazęcka, Henryk Skarżyński
PURPOSE: Septoplasty is a common surgical procedure used for correction of the nasal obstruction caused by a deviated septum. The aim of the study was to identify complications in septoplasty and analyze incidence depending on the surgical technique, based on the material from 2009 till 2017. METHODS: The material consisted of 5639 medical records from patients aged 16-69, operated in the tertiary referral center. Patients were divided into two groups (2784 exclusively with septoplasty and 2855 with combined septoplasty and turbinoplasty)...
May 16, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29763940/simultaneous-septal-perforation-repair-with-septorhinoplasty-a-31-year-experience
#2
Russell W H Kridel, Sean William Delaney
Septal perforation repair and septorhinoplasty (SRP) each present unique surgical challenges. However, in many instances, these procedures may be performed together successfully. In this study, the authors aim to determine the safety and effectiveness of combining primary or revision SRP and septal perforation repair via an open approach. A retrospective review was carried out of all consecutive patients who had SRP and septal perforation repair via an open approach between 1986 and 2017 in the senior author's practice...
May 15, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29762445/functional-results-of-a-modified-extracorporeal-septoplasty-with-open-access
#3
Giovanni Francesco Marangi, Francesco Segreto, Matteo Signoretti, Vito Cazzato, Paolo Persichetti
BACKGROUND: Nasal septal deviation is one of the major causes of nasal respiratory flow disorders. During the rhinoseptoplasty, the septum can be treated through a closed traditional access or through an open access. To date, there are still no objective functional indications of the best access to use in rhinoseptoplasty. For this reason, we evaluated, objectively and subjectively, the functional efficiency of open access and compared it with that of closed access. The aim is to highlight any functional outcome differences between the 2 types of access...
May 14, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29756407/a-prospective-study-for-treatment-of-nasal-valve-collapse-due-to-lateral-wall-insufficiency-outcomes-using-a-bioabsorbable-implant
#4
Pablo Stolovitzky, Douglas M Sidle, Randall A Ow, Nathan E Nachlas, Sam P Most
OBJECTIVE: To examine 6-month outcomes for treatment of lateral nasal wall insufficiency with a bioabsorbable implant. STUDY DESIGN: Prospective, multicenter, nonrandomized, single-blinded study. METHODS: One hundred and one patients with severe-to-extreme class of Nasal Obstruction Symptom Evaluation (NOSE) scores were enrolled at 14 U.S. clinics (September 2016-March 2017). Patients were treated with a bioabsorbable implant designed to support lateral wall, with or without concurrent septoplasty and/or turbinate reduction procedure(s)...
May 14, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29755518/double-barrel-nasal-trumpets-to-prevent-upper-airway-obstruction-after-nasal-and-non-nasal-surgery
#5
Macario Camacho, Justin M Wei, Lauren K Reckley, Sungjin A Song
Objectives: During anesthesia emergence, patients are extubated and the upper airway can become vulnerable to obstruction. Nasal trumpets can help prevent obstruction. However, we have found no manuscript describing how to place nasal trumpets after nasal surgery (septoplasties or septorhinoplasties), likely because (1) the lack of space with nasal splints in place and (2) surgeons may fear that removing the trumpets could displace the splints. The objective of this manuscript is to describe how to place nasal trumpets even with nasal splints in place...
2018: Anesthesiology Research and Practice
https://www.readbyqxmd.com/read/29732927/nasal-endoscopy-billing-patterns-a-survey-of-the-american-rhinologic-society
#6
Abtin Tabaee, Charles A Riley, Seth M Brown, Edward D McCoul
Introduction Nasal endoscopy (NE) is an essential element of office-based clinical rhinology, including the evaluation of chronic rhinosinusitis. Despite the presence of guidelines, variability exists regarding coding and billing for NE especially with regard to inclusion of evaluation and management (E&M) codes and use of the 25 modifier. The goal of this survey was to assess the billing patterns for NE among American Rhinologic Society (ARS) members. Methods An invitation to participate in a web-based survey was electronically sent to all ARS members...
January 1, 2018: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/29714430/reliability-and-validity-of-the-turkish-nose-obstruction-symptom-evaluation-nose-scale
#7
Serdar Karahatay, Hamdi Taşlı, Ömer Karakoç, Ümit Aydın, Türker Türker
Background/aim: The aim of this study was to validate the Turkish Nasal Obstruction Symptom Evaluation (T-NOSE) scale. Materials and methods: The NOSE scale was translated into Turkish. A prospective study was conducted involving adult subjects with nasal obstruction and a control group. The patients were divided into three groups, namely nasal septum deviation (NSD), septoplasty, and control groups. Internal consistency, test-retest reliability, validity, responsiveness, and the magnitude of the effect of surgery were all investigated...
April 30, 2018: Turkish Journal of Medical Sciences
https://www.readbyqxmd.com/read/29707689/new-ambulatory-hysteroscopic-septoplasty-using-ballooning-in-a-woman-with-complete-septate-uterus-a-case-report
#8
Jung Hyun Cho, Hyung Jae Won, Mi Kyoung Kim, Ju Hee Park, Ju Youn Hwang
A 40-year-old G1 P0 L0 A1 woman was referred to our clinic with 6-year history of infertility. Before visiting the clinic, she had 3 cycles of In-Vitro Fertilization (IVF) procedures (2 cycles of Controlled Ovarian Stimulation-IVF and 1 cycle of frozen-thawed Embryo Transfer (ET)) at other clinic. She had medical history of abortion at early gestation following FET (frozen-thawed-ET). The patient had complete type of septate uterus, double cervix and longitudinal vaginal septum. Vaginal septotomy was done first and 1 month later, hysteroscopic septoplasty was followed using ballooning filled with dye...
March 2018: Balsaeng'gwa Saengsig
https://www.readbyqxmd.com/read/29702721/complications-of-polydioxanone-foil-use-in-nasal-surgery-a-case-series
#9
Leo L Wang, Andrew S Frankel, Oren Friedman
Polydioxanone (PDS) foil is widely recognized as a septal cartilage replacement during rhinoplasties and is thought to be completely resorbable and biodegradable. Since its United States Food and Drug Administration approval in 2010, PDS foil has drawn significant enthusiasm and many surgeons consider it an ideal implantable biomaterial as reflected in numerous studies highlighting its benefits. However, scant literature exists highlighting relevant complications of PDS plates that may potentially lead to cavalier overuse...
April 27, 2018: Facial Plastic Surgery: FPS
https://www.readbyqxmd.com/read/29678484/chronic-respiratory-rhinitis
#10
R Jankowski, P Gallet, D T Nguyen, C Rumeau
The clinical distinction of chronic respiratory rhinitis appears to confirm the evo-devo theory of the three noses. The authors report two cases of advanced allergic rhinitis, in which chronic inflammation had induced a violaceous colour of the mucosa of the respiratory nose and a whitish polypoid appearance of the free edge of the middle turbinate. Nose and paranasal sinus CT scan revealed, beyond the virtual nasal cavities observed on nasal endoscopy and CT imaging, normal radiolucency or only minor opacities of the ethmoid (i...
April 17, 2018: European Annals of Otorhinolaryngology, Head and Neck Diseases
https://www.readbyqxmd.com/read/29669111/expression-and-promoter-methylation-status-of-two-dna-repair-genes-in-leukocytes-from-patients-undergoing-propofol-or-isoflurane-anaesthesia
#11
Cristiana M M Freire, Mariana G Braz, João Paulo C Marcondes, Nayara M Arruda, José Reinaldo C Braz, Cláudia A Rainho, Leandro G Braz, Daisy M F Salvadori
Despite the widespread use of the anaesthetics propofol (PROP) and isoflurane (ISO), data about their toxicogenomic potential and interference in epigenetic events are unknown. This study evaluated the expression and methylation profile of two important DNA-repair genes (XRCC1 and hOGG1) in 40 patients undergoing elective and minimally invasive surgery (tympanoplasty and septoplasty) under ISO or PROP anaesthesia. The endpoints were examined at three sampling times: before anaesthesia (T0), 2 h after the beginning of anaesthesia (T2) and 24 h after the beginning of surgery (T24)...
April 13, 2018: Mutagenesis
https://www.readbyqxmd.com/read/29656301/septoplasty-for-nasal-obstruction-due-to-a-deviated-nasal-septum-in-adults-a-systematic-review
#12
M M H T van Egmond, M M Rovers, A H J Tillema, N van Heerbeek
BACKGROUND: The status of current evidence for the effectiveness of septoplasty is unclear. This systematic review evaluates the effectiveness of a) septoplasty (with or without concurrent turbinate surgery) versus non-surgical management, and b) septoplasty with concurrent turbinate surgery versus septoplasty alone, for nasal obstruction due to a deviated nasal septum in adults. METHODOLOGY: Eligible for inclusion were randomised controlled trials and non-randomised designs comparing treatment strategies...
April 15, 2018: Rhinology
https://www.readbyqxmd.com/read/29608471/impact-of-nasal-septal-surgery-on-sleep-quality-and-attention-deficit-hyperactivity-disorder
#13
Ildem Deveci, Serap Onder, Mehmet Surmeli, Samil Sahin, Betul Aktas Kipoglu, Burak Karabulut, Basak Caypinar Eser
OBJECTIVE: To evaluate the effect of nasal septal surgery on quality of life. METHODS: A total of 49 patients who underwent septoplasty and/or inferior turbinate radiofrequency operations for nasal septal deviation and inferior turbinate hypertrophy were prospectively enrolled in the study. All patients completed the adult attention-deficit/hyperactivity disorder scale (ADHD scale) and Pittsburgh sleep quality index (PSQI) before and after septoplasty. Acoustic rhinometric measurements were also recorded...
March 30, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29594693/quality-of-information-on-the-internet-has-a-decade-made-a-difference
#14
Jeyanthi Kulasegarah, Kassandra McGregor, Murali Mahadevan
BACKGROUND: While patients accessing the Internet can be a positive step towards health literacy and self-efficacy, these resources vary in quality. AIMS: In 2007, Kulasegarah et al. assessed the information available to patients on the Internet on three common ENT procedures (tonsillectomy, septoplasty, and myringoplasty), looking at the quality of the information in terms of completeness and accuracy. This is a follow-on study to examine how this information has changed after 10 years...
March 28, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29584566/time-resident-involvement-and-supply-drive-cost-variability-in-septoplasty-with-turbinate-reduction
#15
Nicholas A Quinn, Jeremiah A Alt, Shaelene Ashby, Richard R Orlandi
Objective To determine factors that influence cost variability in septoplasty with inferior turbinate reduction. Study Design Case series with chart review. Setting Tertiary care hospital and affiliated ambulatory surgical center. Subjects and Methods Surgical costs were reviewed for adult patients undergoing septoplasty with inferior turbinate reduction between December 2014 and September 2017. Cases where additional procedures were performed were excluded. Operative supply costs, operative time, room time, and resident involvement were determined...
March 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29554442/improvement-of-aesthetic-and-nasal-airway-in-patients-with-cleft-lip-nasal-deformities-rhinoplasty-with-septal-cartilage-graft-and-septoplasty
#16
Lei Zhang, Xiaofeng Bai, Zengjian Li, Qiang Liu, Mingliang Yang, Xukai Wang, Li Lu
OBJECTIVE: To assess the improvement of nasal morphologies and ventilation after septal cartilage graft and septoplasty of patients with unilateral cleft lip and palate (UCLP). DESIGN: Retrospective case-control study. SETTING: Tertiary stomatology hospital. PATIENTS: In total, 118 patients with UCLP who had been diagnosed with a secondary nasal deformity and had reconstructive rhinoplasty and/or septoplasty between 2010 and 2015...
April 2018: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/29554399/post-turbinectomy-nasal-packing-with-merocel-versus-glove-finger-merocel-a-prospective-randomized-controlled-trial
#17
Rani Abu Eta, Ephraim Eviatar, Jacob Pitaro, Haim Gavriel
Nasal packs are widely used after septoplasty and turbinectomy. We conducted a prospective, randomized, controlled clinical trial including 100 patients who underwent septoplasty with/or without turbinectomy randomized into two groups. In the first group (the Merocel group), a standard tampon was inserted at the end of surgery. In the second group (the glove finger group), the tampon was first placed inside a glove finger. The main outcomes measured were pain and bleeding during the postoperative period and during tampon removal...
March 2018: Ear, Nose, & Throat Journal
https://www.readbyqxmd.com/read/29554072/congenital-vomer-defect-incidentally-detected-on-preoperative-evaluation-for-nasal-septoplasty-and-turbinoplasty
#18
Junhui Jeong, Jun Cheol Park, Chang Eui Hong, Hyo Jin Chung, Jung Hyun Chang
A perforation in posterioinferior portion of nasal septum is rare and caused by vomeral defect. We report a case of 56-year-old man who had a vomer defect, which was detected incidentally during preoperative evaluation of nasal septoplasty and turbinoplasty. The patient had a surgery of septoplasty and bilateral turbinoplasty under general anesthesia. There was no septal mucosal tear or defect during septoplasty and turbinoplasty. When the patient who has vomeral defect with nasal obstruction is planned for septoplasty and turbinoplasty, the surgery should be performed carefully to protect the mucosa...
March 16, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29540289/uvulopalatopharyngoplasty-vs-cn-xii-stimulation-for-treatment-of-obstructive-sleep-apnea-a-single-institution-experience
#19
Janki Shah, Jonathon O Russell, Tina Waters, Alan H Kominsky, Douglas Trask
OBJECTIVES: Hypoglossal nerve stimulation (HNS) therapy is an emerging surgical treatment for select patients with obstructive sleep apnea (OSA). This study aims to compare outcomes in patients with moderate to severe OSA who underwent HNS surgery (Inspire Medical Systems) and those who underwent traditional airway reconstructive surgery, specifically uvulopalatopharyngoplasty (UPPP). METHODS: Patients who underwent HNS implantation (n = 20), all with moderate to severe OSA, inability to adhere to positive pressure therapy, and compliant with previously published inclusion criteria, were compared to a historical cohort that were intolerant of CPAP with similar inclusion criteria who all underwent UPPP (n = 20) with some also undergoing additional procedures such as septoplasty/turbinate reduction...
March 2, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29519133/effect-of-fentanyl-nasal-packing-treatment-on-patients-with-acute-postoperative-pain-after-nasal-operation-a-randomized-double-blind-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Kwan-Sub Kim, Nam-Kyung Yeo, Seong-Su Kim, Woong-Sub Park, Su-Hyun Kwak, Sang-Hyeon Cho, Gyu-Wan Sung, Hae-Sook Kim, Sang-Wook Yi, Hae Jun Cho
PURPOSE: Nasal packing is an option for bleeding control after endoscopic sinus surgery and septoplasty. Although new packing materials have been developed, patients still suffer from pain and require additional analgesics treatments. In this study, a prospective, randomized, and double-blind controlled trial was designed to evaluate the effect of fentanyl-soaked packing on pain after endoscopic sinus surgery and septoplasty. METHODS: One hundred fifty-two patients who underwent nasal surgeries due to chronic rhinosinusitis or nasal septal deviation were enrolled in this study...
May 2018: Annals of Otology, Rhinology, and Laryngology
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