Does the Change in the Indications of Endoscopic Sinonasal Surgery Continue? Data between 1994-2018 (original) (raw)
Related papers
2019
Original Research Article Introduction: The indications for functional endoscopic sinus surgery are recurrent acute sinusitis or chronic sinusitis that does not respond to medical therapy. Functional approach is not applicable to all diseases of the Nose and Sinuses. In addition, horizons of Endoscopic Nasal Surgery have grown far beyond FESS and now include other Nasal, Orbital and anterior skull base procedures such as nasal polyposis, endoscopic dacryocystorhinostomy, CSF leak repair, optic nerve decompression. Objective: This study was carried out to observe the role and outcome of endoscopic for different sinonasal diseasess. Study was done in department of ENT & Head-Neck Surgery, Border Guard Hospital, and Dhaka, Bangladesh from March 2019 to November 2019. Methods: This retrospective study was carried out to observe the role and outcome of endoscopic for different sinonasal diseases. Study was done in department of ENT & Head-Neck Surgery, Border Guard Hospital, and Dhaka, B...
BMJ Open, 2015
The aim of this study was to investigate the surgical revision rate in patients with chronic rhinosinusitis (CRS) in the UK CRS Epidemiology Study (CRES). Previous evidence from National Sinonasal Audit showed that 1459 patients with CRS demonstrated a surgical revision rate 19.1% at 5 years, with highest rates seen in those with polyps (20.6%). Setting: Thirty secondary care centres around the UK. Participants: A total of 221 controls and 1249 patients with CRS were recruited to the study including those with polyps (CRSwNPs), without polyps (CRSsNPs) and with allergic fungal rhinosinusitis (AFRS). Interventions: Self-administered questionnaire. Primary outcome measure: The need for previous sinonasal surgery. Results: A total of 651 patients with CRSwNPs, 553 with CRSsNPs and 45 with AFRS were included. A total of 396 (57%) patients with CRSwNPs/AFRS reported having undergone previous endoscopic nasal polypectomy (ENP), of which 182 of the 396 (46%) reported having received more than one operation. The mean number of previous surgeries per patient in the revision group was 3.3 (range 2-30) and a mean duration of time of 10 years since the last procedure. The average length of time since their first operation up to inclusion in the study was 15.5 years (range 0-74). Only 27.9% of all patients reporting a prior ENP had received concurrent endoscopic sinus surgery (ESS; n=102). For comparison, surgical rates in patients with CRSsNPs were significantly lower; 13% of cases specifically reported ESS, and of those only 30% reported multiple procedures (χ 2 p<0.001). Conclusions: This study demonstrated that there is a high burden of both primary and revision surgery in patients with CRS, worst in those with AFRS and least in those with CRSsNPs. The burden of revision surgery appears unchanged in the decade since the Sinonasal Audit.
3 Objective Outcomes in Endoscopic Sinus Surgery
2012
Use of endoscopes in the sinonasal cavity dates as far back as the turn of the 20th century with Hirschmann and Reichert performing the first sino-endoscopies and sinus surgeries, respectively. Widespread use was limited until H.H. Hopkins helped address illumination difficulties with the rod optic system in the 1960s and Walter Messerklinger began systematic use of the endoscope to evaluate the lateral nasal wall and mucociliary clearance in the late 1970s (Lee & Kennedy 2006). With the advent of modern endoscopic sinus surgery instruments and techniques in the 1980s, the endoscope has radically altered the surgical approach and management of inflammatory and neoplastic sinonasal disease rendering many of the open approaches nearly obsolete. Successful outcomes in endoscopic sinus surgery have often been largely based on subjective qualifiers by the patient. Significant improvements in patient perceived nasal congestion, obstruction, facial pressure, rhinorrhea, headache, postnasal...
World Neurosurgery, 2016
Patients experience significant postoperative sinonasal symptoms for the first few months after endoscopic transnasal transsphenoidal approach (ETN-TSA) surgery. We modified this technique by bypassing the nasal mucosa and approaching through the septum bilaterally. In this study, we analyze whether these technical modifications, which we have termed the endoscopic modified transseptal transsphenoidal approach (EMTS-TSA), decrease postoperative sinonasal morbidity after endoscopic TSA.-METHODS: We retrospectively reviewed a prospectively collected database. Patients who underwent endoscopic TSA from December 2012 to June 2014 were included. Thirty patients underwent ETN-TSA, and 51 underwent EMTS-TSA. Sino-Nasal Outcome Test-20, anterior skull base nasal inventory, and visual analog scale (VAS) for subjective olfaction were evaluated before and 1 and 3 months after surgery. Cross Cultural Smell Identification Test also was measured before and 3 months after surgery.-RESULTS: There was a significant difference between the preoperative and 3-month VAS for olfaction in the ETN-TSA group (from 92.5 to 81.3; P [ 0.002) but not the EMTS-TSA group (from 90.6 to 88.8; P [ 0.403). There was no statistical difference in Sino-Nasal Outcome Test-20 or Cross-Cultural Smell Identification Test scores between 2 groups during follow-up. The EMTS-TSA group scored better than the ETN-TSA group in the anterior skull base nasal inventory subdomain ("nasal discharge," "urge to blow," and "trouble breading") 1 month postoperatively.-CONCLUSIONS: EMTS-TSA could preserve almost all nasal mucosa, including the septum and turbinates. EMTS-TSA may be useful for preserving early postoperative olfactory function and some sinonasal quality of life. We believe that EMTS-TSA is a good endoscopic pituitary surgery option.
International forum of allergy & rhinology, 2016
The use of endoscopic endonasal approaches to the anterior skull base has dramatically expanded in recent years, with clinical endpoints and complication rates that compare favorably to traditional approaches. The impact of the endoscopic approach on sinonasal function has been less rigorously evaluated. The purpose of this study was to systematically analyze the literature evaluating objective sinonasal outcomes in endoscopic anterior skull-base surgery, and provide evidence-based recommendations. A systematic review of the literature was performed based on a published guideline for developing an evidence-based review with recommendations. Objective sinonasal outcomes included were olfaction, mucociliary clearance, and nasal airflow. Ten articles were identified addressing objective olfactory outcomes: 2 randomized controlled trials; 6 cohort studies; and 2 retrospective case series. One cohort study investigating mucociliary clearance was identified. Six studies reporting postoper...
Research Square (Research Square), 2023
Sinonasal malignancies are complex neoplasms that necessitate careful surgical management. This study aimed to compare the outcomes of three surgical approaches: endoscopic surgery, open surgery, and a combination of both in treating sinonasal malignancies. Results Among the 59 patients included, there were 31 males and 28 females. The patients were separated into 3 groups: 13 patients underwent an endoscopic approach, 35 patients underwent an open approach, and 11 patients underwent a combined surgery. The 5-year overall survival rate was 50%. The 5-year diseasespeci c survival was 76%, 47% and 55% (p value = 0.066) for the endoscopic approach, combined surgery and open surgery groups, respectively, with no statistically signi cant differences among all approaches. The most frequent histotypes were squamous cell carcinoma (37%), salivary gland-type carcinoma (22%), esthesioneuroblastoma (11%), and adenocarcinoma (10%). Patients in the endoscopic approach group had the shortest length of hospital stay, with a statistically signi cant difference (p value < 0.001). Additionally, the overall 5-year survival in all 59 patients was 50%. The 5-year disease-speci c survival was not signi cantly different among all groups (p value = 0.066), and there were no statistically signi cant relationships between surgical outcomes and survival when using multivariate regression analysis.
Endoscopic Sinus Surgery: Results at 2-Year Followup
Otolaryngology-Head and Neck Surgery, 1989
Endoscopic .Inu••urgery I. a relatively new technique for the management of .Inu.ltl. refractory to nonlnva.lve therapy. Success depends on the use of newly developed In.tNments, Including the endoscopes, that allow one to enlarge the natural drainage o.tla of the Involved .Inu.... Furthermore, Its use assumes that the mucosal disease I. reverstble and that de.tNctlve procedures, such as the Caldwell•Luc. are unnecessary. To date there have been no reports In the English literature of patient. followed for more than a few month•. Herein we report 100 consecutive patient. followed for at lea.t 2 vears. (OTOI..ARVNGOL HEAD NECK SURG 1989;101:476.
The Role of Classification of Endoscopic Sinus Surgery in Surgical Planning
Global Journal of Medical Research
Endoscopic sinus surgery being an approach, there is no proper classification system to address the extent of surgery required for Sinonasal pathologies. The current study attempts to propose and evaluate the role and efficacy of a classification system for endoscopic sinus surgery in addressing various Sinonasal and skull base pathologies. Materials and methods: It's a prospective study that included 50 patients. We classified ESS into six types based on the extent of surgery. After thorough evaluation, depending on the extent of the disease, all 50 patients were planned and treated according to the classification. Patients were followed for one year.