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Erschienen in: Current Allergy and Asthma Reports 3/2011

01.06.2011

Advances in the Surgical Management of Chronic Sinusitis and Nasal Polyps

verfasst von: Vijay R. Ramakrishnan, David W. Kennedy

Erschienen in: Current Allergy and Asthma Reports | Ausgabe 3/2011

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Abstract

Current research has only reinforced the belief that chronic rhinosinusitis is a multifactorial and idiosyncratic disease process. Most basic science research on the topic focuses on delineating the many proposed contributing factors and attempting to establish therapeutic targets. In patients whose symptoms do not respond to medical therapy, endoscopic sinus surgery may be offered. Several surgical techniques have been proposed, and it would appear that certain techniques are ideal for certain situations. Recent clinical research has focused on the introduction of new technology and new techniques. Additionally, investigators have looked for ways to optimize current techniques and to determine which patient populations may expect to benefit from which types of interventions.
Literatur
1.
Zurück zum Zitat Bhattacharyya N, Lee LN. Evaluating the diagnosis of chronic rhinosinusitis based on clinical guidelines and endoscopy. Otolaryngol Head Neck Surg. 2010;143:147–51.PubMedCrossRef Bhattacharyya N, Lee LN. Evaluating the diagnosis of chronic rhinosinusitis based on clinical guidelines and endoscopy. Otolaryngol Head Neck Surg. 2010;143:147–51.PubMedCrossRef
2.
Zurück zum Zitat Catalano PJ, Strouch M. The minimally invasive sinus technique: theory and practice. Otolaryngol Clin North Am. 2004;37:401–9.PubMedCrossRef Catalano PJ, Strouch M. The minimally invasive sinus technique: theory and practice. Otolaryngol Clin North Am. 2004;37:401–9.PubMedCrossRef
3.
Zurück zum Zitat Setliff III RC. Minimally invasive sinus surgery: the rationale and the technique. Otolaryngol Clin North Am. 1996;29:115–24.PubMed Setliff III RC. Minimally invasive sinus surgery: the rationale and the technique. Otolaryngol Clin North Am. 1996;29:115–24.PubMed
4.
Zurück zum Zitat Salama N, Oakley RJ, Skilbeck CJ, et al. Benefit from the minimally invasive sinus technique. J Laryngol Otol. 2009;123:186–90.PubMedCrossRef Salama N, Oakley RJ, Skilbeck CJ, et al. Benefit from the minimally invasive sinus technique. J Laryngol Otol. 2009;123:186–90.PubMedCrossRef
5.
Zurück zum Zitat Kennedy DW, Senior BA, Gannon FH, et al. Histology and histomorphometry of ethmoid bone in chronic rhinosinusitis. Laryngoscope. 1998;108:502–7.PubMedCrossRef Kennedy DW, Senior BA, Gannon FH, et al. Histology and histomorphometry of ethmoid bone in chronic rhinosinusitis. Laryngoscope. 1998;108:502–7.PubMedCrossRef
6.
Zurück zum Zitat • Harvey RJ, Goddard JC, Wise SK, et al. Effects of endoscopic sinus surgery and delivery device on cadaver sinus irrigation. Otolaryngol Head Neck Surg. 2008;139(1):137–42. The penetration of Gastroview (Mallinckrodt, St. Louis, MO) contrast delivered by pressurized spray, Neti Pot, and squeeze bottle was compared in cadavers in the unoperated state with those having undergone complete endoscopic sinus surgery with uncinectomy, maxillary antrostomy, sphenoethmoidectomy, and wide frontal sinusotomy. Blinded assessment of distribution was determined by CT scan grading. Total sinus distribution was greatest after surgery (P<0.001), with even better total sinus distribution after medial maxillectomy (P=0.02). There was a statistically significant improvement in distribution with all devices, with the largest improvements in the frontal and sphenoid sinuses.PubMedCrossRef • Harvey RJ, Goddard JC, Wise SK, et al. Effects of endoscopic sinus surgery and delivery device on cadaver sinus irrigation. Otolaryngol Head Neck Surg. 2008;139(1):137–42. The penetration of Gastroview (Mallinckrodt, St. Louis, MO) contrast delivered by pressurized spray, Neti Pot, and squeeze bottle was compared in cadavers in the unoperated state with those having undergone complete endoscopic sinus surgery with uncinectomy, maxillary antrostomy, sphenoethmoidectomy, and wide frontal sinusotomy. Blinded assessment of distribution was determined by CT scan grading. Total sinus distribution was greatest after surgery (P<0.001), with even better total sinus distribution after medial maxillectomy (P=0.02). There was a statistically significant improvement in distribution with all devices, with the largest improvements in the frontal and sphenoid sinuses.PubMedCrossRef
7.
Zurück zum Zitat Albu S, Tomescu E. Small and large middle meatus antrostomies in the treatment of chronic maxillary sinusitis. Otolaryngol Head Neck Surg. 2004;131(4):542–7.PubMedCrossRef Albu S, Tomescu E. Small and large middle meatus antrostomies in the treatment of chronic maxillary sinusitis. Otolaryngol Head Neck Surg. 2004;131(4):542–7.PubMedCrossRef
8.
Zurück zum Zitat • Cho D, Hwang PH. Results of endoscopic maxillary mega-antrostomy in recalcitrant maxillary sinusitis. Am J Rhinol. 2008;22(6):658–62. In this study of recalcitrant chronic maxillary sinusitis, 42 endoscopic middle meatus antrostomy procedures were performed on maxillary sinuses with an average of 2.3 prior surgeries. This heterogeneous group contained patients with cystic fibrosis, IgG deficiency, asthma, and prior craniofacial or Caldwell-Luc procedures. At a mean 11-month follow-up, 74% of patients reported complete resolution of symptoms, and 26% reported partial improvement.PubMedCrossRef • Cho D, Hwang PH. Results of endoscopic maxillary mega-antrostomy in recalcitrant maxillary sinusitis. Am J Rhinol. 2008;22(6):658–62. In this study of recalcitrant chronic maxillary sinusitis, 42 endoscopic middle meatus antrostomy procedures were performed on maxillary sinuses with an average of 2.3 prior surgeries. This heterogeneous group contained patients with cystic fibrosis, IgG deficiency, asthma, and prior craniofacial or Caldwell-Luc procedures. At a mean 11-month follow-up, 74% of patients reported complete resolution of symptoms, and 26% reported partial improvement.PubMedCrossRef
9.
Zurück zum Zitat Woodworth BA, Parker RO, Schlosser RJ. Modified endoscopic medial maxillectomy for chronic maxillary sinusitis. Am J Rhinol. 2006;20(3):317–9.PubMedCrossRef Woodworth BA, Parker RO, Schlosser RJ. Modified endoscopic medial maxillectomy for chronic maxillary sinusitis. Am J Rhinol. 2006;20(3):317–9.PubMedCrossRef
10.
Zurück zum Zitat Hahn S, Palmer JN, Purkey MT, et al. Indications for external frontal sinus procedures for inflammatory sinus disease. Am J Rhinol Allergy. 2009;23(3):342–72.PubMedCrossRef Hahn S, Palmer JN, Purkey MT, et al. Indications for external frontal sinus procedures for inflammatory sinus disease. Am J Rhinol Allergy. 2009;23(3):342–72.PubMedCrossRef
11.
Zurück zum Zitat Chiu AG, Vaughan WC. Revision endoscopic frontal sinus surgery with surgical navigation. Otolaryngol Head Neck Surg. 2004;130(3):312–8.PubMedCrossRef Chiu AG, Vaughan WC. Revision endoscopic frontal sinus surgery with surgical navigation. Otolaryngol Head Neck Surg. 2004;130(3):312–8.PubMedCrossRef
12.
Zurück zum Zitat Anderson P, Sindwani R. Safety and efficacy of the endoscopic modified Lothrop procedure: a systematic review and meta-analysis. Laryngoscope. 2009;119(9):1828–33.PubMedCrossRef Anderson P, Sindwani R. Safety and efficacy of the endoscopic modified Lothrop procedure: a systematic review and meta-analysis. Laryngoscope. 2009;119(9):1828–33.PubMedCrossRef
13.
Zurück zum Zitat Snidvongs K, Chaowanapanja P, Aeumjaturapat S, et al. Does nasal irrigation enter paranasal sinuses in chronic rhinosinusitis? Am J Rhinol. 2008;22:483–6.PubMedCrossRef Snidvongs K, Chaowanapanja P, Aeumjaturapat S, et al. Does nasal irrigation enter paranasal sinuses in chronic rhinosinusitis? Am J Rhinol. 2008;22:483–6.PubMedCrossRef
14.
Zurück zum Zitat Grobler A, Weitzel EK, Buele A, et al. Pre- and postoperative sinus penetration of nasal irrigation. Laryngoscope. 2008;118:2078–81.PubMedCrossRef Grobler A, Weitzel EK, Buele A, et al. Pre- and postoperative sinus penetration of nasal irrigation. Laryngoscope. 2008;118:2078–81.PubMedCrossRef
15.
Zurück zum Zitat Valentine R, Athanasiadis T, Thwin M, et al. A prospective controlled trial of pulsed nasal nebulizer in maximally dissected cadavers. Am J Rhinol. 2008;22:390–4.PubMedCrossRef Valentine R, Athanasiadis T, Thwin M, et al. A prospective controlled trial of pulsed nasal nebulizer in maximally dissected cadavers. Am J Rhinol. 2008;22:390–4.PubMedCrossRef
16.
Zurück zum Zitat Benjamin E, Wong DK, Choa D. ‘Moffett’s’ solution: a review of the evidence and scientific basis for the topical preparation of the nose. Clin Otolaryngol Allied Sci. 2004;29:582–7.PubMedCrossRef Benjamin E, Wong DK, Choa D. ‘Moffett’s’ solution: a review of the evidence and scientific basis for the topical preparation of the nose. Clin Otolaryngol Allied Sci. 2004;29:582–7.PubMedCrossRef
17.
Zurück zum Zitat Harvey RJ, Debnath N, Srubiski A, Bleier B, Schlosser RJ. Fluid residuals and drug exposure in nasal irrigation. Otolaryngol Head Neck Surg. 2009;141(6):757–61.PubMedCrossRef Harvey RJ, Debnath N, Srubiski A, Bleier B, Schlosser RJ. Fluid residuals and drug exposure in nasal irrigation. Otolaryngol Head Neck Surg. 2009;141(6):757–61.PubMedCrossRef
18.
Zurück zum Zitat Soler ZM, Hwang PH, Mace J, Smith TL. Outcomes after middle turbinate resection. Laryngoscope. 2010;120:832–7.PubMedCrossRef Soler ZM, Hwang PH, Mace J, Smith TL. Outcomes after middle turbinate resection. Laryngoscope. 2010;120:832–7.PubMedCrossRef
19.
Zurück zum Zitat Batra PS, Seiden AM, Smith TL. Surgical management of adult inferior turbinate hypertrophy: a systematic review of the evidence. Laryngoscope. 2009;119:1819–27.PubMedCrossRef Batra PS, Seiden AM, Smith TL. Surgical management of adult inferior turbinate hypertrophy: a systematic review of the evidence. Laryngoscope. 2009;119:1819–27.PubMedCrossRef
20.
Zurück zum Zitat Buyuklu F, Cakmak O, Hizal E, et al. Outfracture of the inferior turbinate: a computed tomography study. Plast Reconstr Surg 2009. Buyuklu F, Cakmak O, Hizal E, et al. Outfracture of the inferior turbinate: a computed tomography study. Plast Reconstr Surg 2009.
21.
Zurück zum Zitat Passali D, Passali MF, Passali GC, et al. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol. 2003;112:683–8.PubMed Passali D, Passali MF, Passali GC, et al. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol. 2003;112:683–8.PubMed
22.
Zurück zum Zitat Liu CM, Tan CD, Lee FP, et al. Microdebrider-assisted versus radiofrequency assisted inferior turbinoplasty. Laryngoscope. 2009;119:414–8.PubMedCrossRef Liu CM, Tan CD, Lee FP, et al. Microdebrider-assisted versus radiofrequency assisted inferior turbinoplasty. Laryngoscope. 2009;119:414–8.PubMedCrossRef
23.
Zurück zum Zitat Steinke JW, Payne SC, Tessier ME, et al. Pilot study of budesonide inhalant suspension irrigations for chronic eosinophilic sinusitis. J Allergy Clin Immunol. 2009;124(6):1352–4.PubMedCrossRef Steinke JW, Payne SC, Tessier ME, et al. Pilot study of budesonide inhalant suspension irrigations for chronic eosinophilic sinusitis. J Allergy Clin Immunol. 2009;124(6):1352–4.PubMedCrossRef
24.
Zurück zum Zitat Welch KC, Thaler ER, Doghramji LL, et al. The effects of serum and urinary cortisol levels of topical intranasal irrigations with budesonide added to saline in patients with recurrent polyposis after endoscopic sinus surgery. Am J Rhinol Allergy. 2010;24(1):26–8.PubMedCrossRef Welch KC, Thaler ER, Doghramji LL, et al. The effects of serum and urinary cortisol levels of topical intranasal irrigations with budesonide added to saline in patients with recurrent polyposis after endoscopic sinus surgery. Am J Rhinol Allergy. 2010;24(1):26–8.PubMedCrossRef
25.
Zurück zum Zitat Hissaria P, Smith W, Wormald PJ, et al. Short course of systemic corticosteroids in sinonasal polyposis: a double-blind, randomized, placebo-controlled trial with evaluation of outcome measures. J Allergy Clin Immunol. 2006;118:128–33.PubMedCrossRef Hissaria P, Smith W, Wormald PJ, et al. Short course of systemic corticosteroids in sinonasal polyposis: a double-blind, randomized, placebo-controlled trial with evaluation of outcome measures. J Allergy Clin Immunol. 2006;118:128–33.PubMedCrossRef
26.
Zurück zum Zitat Benítez P, Alobid I, de Haro J, et al. A short course of oral prednisone followed by intranasal budesonide is an effective treatment of severe nasal polyps. Laryngoscope. 2006;116:770–5.PubMedCrossRef Benítez P, Alobid I, de Haro J, et al. A short course of oral prednisone followed by intranasal budesonide is an effective treatment of severe nasal polyps. Laryngoscope. 2006;116:770–5.PubMedCrossRef
27.
Zurück zum Zitat Becker SS, Rasamny JK, Han JK, et al. Steroid injection for sinonasal polyps: the University of Virginia experience. Am J Rhinol. 2007;21:64–9.PubMedCrossRef Becker SS, Rasamny JK, Han JK, et al. Steroid injection for sinonasal polyps: the University of Virginia experience. Am J Rhinol. 2007;21:64–9.PubMedCrossRef
28.
Zurück zum Zitat Masterson L, Tanweer F, Bueser T, Leong P. Extensive endoscopic sinus surgery: does this reduce the revision rate for nasal polyposis. Eur Arch Otorhinolaryngol. 2010;267:1557–61.PubMedCrossRef Masterson L, Tanweer F, Bueser T, Leong P. Extensive endoscopic sinus surgery: does this reduce the revision rate for nasal polyposis. Eur Arch Otorhinolaryngol. 2010;267:1557–61.PubMedCrossRef
29.
Zurück zum Zitat Marchioni D, Alicandri-Ciufelli M, Mattioli F, et al. Middle turbinate preservation versus middle turbinate resection in endoscopic surgical treatment of nasal polyposis. Acta Oto-Laryngologica. 2008;128:1019–26.PubMedCrossRef Marchioni D, Alicandri-Ciufelli M, Mattioli F, et al. Middle turbinate preservation versus middle turbinate resection in endoscopic surgical treatment of nasal polyposis. Acta Oto-Laryngologica. 2008;128:1019–26.PubMedCrossRef
30.
Zurück zum Zitat Jankowski R, Pigret D, Decroocq F. Comparison of functional results after ethmoidectomy and nasalization for diffuse and severe nasal polyposis. Acta Otolaryngol. 1997;117(4):601–8.PubMedCrossRef Jankowski R, Pigret D, Decroocq F. Comparison of functional results after ethmoidectomy and nasalization for diffuse and severe nasal polyposis. Acta Otolaryngol. 1997;117(4):601–8.PubMedCrossRef
31.
Zurück zum Zitat Jankowski R, Pigret D, Decrooq F, et al. Comparison of radical (nasalization) and functional ethmoidectomy in patients with severe nasal polyposis. A retrospective study. Rev Laryngol Otol Rhinol (Bord). 2006;127(3):131–40. Jankowski R, Pigret D, Decrooq F, et al. Comparison of radical (nasalization) and functional ethmoidectomy in patients with severe nasal polyposis. A retrospective study. Rev Laryngol Otol Rhinol (Bord). 2006;127(3):131–40.
32.
Zurück zum Zitat Eloy JA, Walker TJ, Rasiano RR, Ruiz JW. Effect of coblation polypectomy on estimated blood loss in endoscopic sinus surgery. Am J Rhinol Allergy. 2009;23(5):535–9.PubMedCrossRef Eloy JA, Walker TJ, Rasiano RR, Ruiz JW. Effect of coblation polypectomy on estimated blood loss in endoscopic sinus surgery. Am J Rhinol Allergy. 2009;23(5):535–9.PubMedCrossRef
33.
Zurück zum Zitat Swibel Rosenthal LH, Benninger MS, Stone CH, Zacharek MA. Wound healing in the rabbit paranasal sinuses after Coblation: evaluation for use in endoscopic sinus surgery. Am J Rhinol Allergy. 2009;23(3):360–3.PubMedCrossRef Swibel Rosenthal LH, Benninger MS, Stone CH, Zacharek MA. Wound healing in the rabbit paranasal sinuses after Coblation: evaluation for use in endoscopic sinus surgery. Am J Rhinol Allergy. 2009;23(3):360–3.PubMedCrossRef
34.
Zurück zum Zitat Higashi N, Taniguchi M, Mita H, et al. Clinical features of asthmatic patients with increased urinary leukotriene E4 excretion (hyperleukotrienuria): involvement of chronic hyperplastic rhinosinusitis with nasal polyposis. J Allergy Clin Immunol. 2004;113(2):277–83.PubMedCrossRef Higashi N, Taniguchi M, Mita H, et al. Clinical features of asthmatic patients with increased urinary leukotriene E4 excretion (hyperleukotrienuria): involvement of chronic hyperplastic rhinosinusitis with nasal polyposis. J Allergy Clin Immunol. 2004;113(2):277–83.PubMedCrossRef
35.
Zurück zum Zitat Albu S, Tomescu E, Mexca Z, et al. Recurrence rates in endonasal surgery for polyposis. Acta Otorhinolaryngol Belg. 2004;58(1):79–86.PubMed Albu S, Tomescu E, Mexca Z, et al. Recurrence rates in endonasal surgery for polyposis. Acta Otorhinolaryngol Belg. 2004;58(1):79–86.PubMed
36.
Zurück zum Zitat Stevenson DD, Hankammer MA, Mathison DA, et al. Aspirin desensitization treatment of aspirin-sensitive patients with rhinosinusitis-asthma: long-term outcomes. J Allergy Clin Immunol. 1996;98(4):751–8.PubMedCrossRef Stevenson DD, Hankammer MA, Mathison DA, et al. Aspirin desensitization treatment of aspirin-sensitive patients with rhinosinusitis-asthma: long-term outcomes. J Allergy Clin Immunol. 1996;98(4):751–8.PubMedCrossRef
37.
Zurück zum Zitat Berges-Gimeno P, Simon RA, Stevenson DD. Long-term treatment with aspirin desensitization in asthmatic patients with aspirin-exacerbated respiratory disease. J Allergy Clin Immunol. 2003;111:180–6.PubMedCrossRef Berges-Gimeno P, Simon RA, Stevenson DD. Long-term treatment with aspirin desensitization in asthmatic patients with aspirin-exacerbated respiratory disease. J Allergy Clin Immunol. 2003;111:180–6.PubMedCrossRef
38.
Zurück zum Zitat • Friedman M, Schlach P, Lin H-C, et al. Functional endoscopic dilatation of the sinuses: Patient satisfaction, postoperative pain, and cost. Am J Rhinol. 2008;22:204–9. A total of 35 patients with CRS were in each group—balloon sinuplasty (functional endoscopic dilation of the sinuses [FEDS]) or FESS—with preoperative Lund-MacKay scores less than 12. Patient symptoms, use of narcotic medication, and cost were the outcome measures examined. Improvements in Sino-Nasal Outcome Test 20 scores were similar between groups, with higher patient satisfaction in the FEDS group. Use of narcotic medications was statistically less in the FEDS group by about half a day. Cost was similar for primary cases but significantly decreased in the FEDS group for revision cases. Although not a specific end point of the study, turbinate lateralization and scarring was more common in the FEDS group.PubMedCrossRef • Friedman M, Schlach P, Lin H-C, et al. Functional endoscopic dilatation of the sinuses: Patient satisfaction, postoperative pain, and cost. Am J Rhinol. 2008;22:204–9. A total of 35 patients with CRS were in each group—balloon sinuplasty (functional endoscopic dilation of the sinuses [FEDS]) or FESS—with preoperative Lund-MacKay scores less than 12. Patient symptoms, use of narcotic medication, and cost were the outcome measures examined. Improvements in Sino-Nasal Outcome Test 20 scores were similar between groups, with higher patient satisfaction in the FEDS group. Use of narcotic medications was statistically less in the FEDS group by about half a day. Cost was similar for primary cases but significantly decreased in the FEDS group for revision cases. Although not a specific end point of the study, turbinate lateralization and scarring was more common in the FEDS group.PubMedCrossRef
39.
Zurück zum Zitat Stankiewicz J, Tami T, Truitt T, et al. Transantral, endoscopically guided balloon dilatation of the local ostiomeatal complex for chronic rhinosinusitis under local anesthesia. Am J Rhinol. 2009;23(3):321–7.CrossRef Stankiewicz J, Tami T, Truitt T, et al. Transantral, endoscopically guided balloon dilatation of the local ostiomeatal complex for chronic rhinosinusitis under local anesthesia. Am J Rhinol. 2009;23(3):321–7.CrossRef
40.
Zurück zum Zitat Bleir BS, Paulson DP, O’Malley BW, et al. Chitosan glycerophosphate-based semirigid dexamethasone eluting biodegradable stent. Am J Rhinol. 2009;23(1):76–9.CrossRef Bleir BS, Paulson DP, O’Malley BW, et al. Chitosan glycerophosphate-based semirigid dexamethasone eluting biodegradable stent. Am J Rhinol. 2009;23(1):76–9.CrossRef
41.
Zurück zum Zitat Beule AG, Steinmeier E, Kaftan H, et al. Effects of a dexamethasone-releasing stent on osteoneogenesis in a rabbit model. Am J Rhinol Allergy. 2009;23(4):433–6.PubMedCrossRef Beule AG, Steinmeier E, Kaftan H, et al. Effects of a dexamethasone-releasing stent on osteoneogenesis in a rabbit model. Am J Rhinol Allergy. 2009;23(4):433–6.PubMedCrossRef
42.
Zurück zum Zitat Li PF, Downie D, Hwang PH. Controlled steroid delivery via bioabsorbable stent: safety and performance in a rabbit model. Am J Rhinol Allergy. 2009;23(6):591–6.PubMedCrossRef Li PF, Downie D, Hwang PH. Controlled steroid delivery via bioabsorbable stent: safety and performance in a rabbit model. Am J Rhinol Allergy. 2009;23(6):591–6.PubMedCrossRef
43.
Zurück zum Zitat Melroy CT, Kuhn FA. Safety of ethmoid sinus drug-eluting catheter insertion. Annals Otol Rhinol Laryngol. 2009;118(1):708–13. Melroy CT, Kuhn FA. Safety of ethmoid sinus drug-eluting catheter insertion. Annals Otol Rhinol Laryngol. 2009;118(1):708–13.
44.
Zurück zum Zitat Murr A, Smith TL, Hwang PH, Chattacharyya N. Safety and efficacy of a novel bioabsorbable, steroid eluting sinus stent. Presented at the American Rhinologic Society Annual Meeting, 2010. Murr A, Smith TL, Hwang PH, Chattacharyya N. Safety and efficacy of a novel bioabsorbable, steroid eluting sinus stent. Presented at the American Rhinologic Society Annual Meeting, 2010.
45.
Zurück zum Zitat Le T, Psaltis A, Tan LW, Wormald PJ. The efficacy of topical antibiofilm agents in a sheep model of rhinosinusitis. Am J Rhinol. 2008;22(6):560–7.PubMedCrossRef Le T, Psaltis A, Tan LW, Wormald PJ. The efficacy of topical antibiofilm agents in a sheep model of rhinosinusitis. Am J Rhinol. 2008;22(6):560–7.PubMedCrossRef
46.
Zurück zum Zitat Jackman AH, Palmer JN, Chiu AG, et al. Use of intraoperative CT scanning in endoscopic sinus surgery: a preliminary report. Am J Rhinol. 2008;22(2):170–4.PubMedCrossRef Jackman AH, Palmer JN, Chiu AG, et al. Use of intraoperative CT scanning in endoscopic sinus surgery: a preliminary report. Am J Rhinol. 2008;22(2):170–4.PubMedCrossRef
47.
Zurück zum Zitat Batra PS, Kanowitz SJ, Citardi MJ. Clinical utility of intraoperative volume computed tomography scanner for endoscopic sinonasal and skull base procedures. Am J Rhinol. 2008;22(5):511–5.PubMedCrossRef Batra PS, Kanowitz SJ, Citardi MJ. Clinical utility of intraoperative volume computed tomography scanner for endoscopic sinonasal and skull base procedures. Am J Rhinol. 2008;22(5):511–5.PubMedCrossRef
48.
Zurück zum Zitat Sarmento Jr KM, Tomita S, Kos AO. Topical use of adrenaline in different concentrations for endoscopic sinus surgery. Braz J Otorhinolaryngol. 2009;75(2):280–9. Sarmento Jr KM, Tomita S, Kos AO. Topical use of adrenaline in different concentrations for endoscopic sinus surgery. Braz J Otorhinolaryngol. 2009;75(2):280–9.
49.
Zurück zum Zitat Orlandi RR, Warrier S, Sato S, Han JK. Concentrated topical epinephrine is safe in endoscopic sinus surgery. Am J Rhinol Allergy. 2010;24(2):140–2.PubMedCrossRef Orlandi RR, Warrier S, Sato S, Han JK. Concentrated topical epinephrine is safe in endoscopic sinus surgery. Am J Rhinol Allergy. 2010;24(2):140–2.PubMedCrossRef
50.
Zurück zum Zitat Ortel TL, Mercer MC, Thames EH, et al. Immunologic impact and clinical outcomes after surgical exposure to bovine thrombin. Ann Surg. 2001;233:88–96.PubMedCrossRef Ortel TL, Mercer MC, Thames EH, et al. Immunologic impact and clinical outcomes after surgical exposure to bovine thrombin. Ann Surg. 2001;233:88–96.PubMedCrossRef
51.
Zurück zum Zitat Lawson JH, Lynn KA, Vanmatre RM, et al. Antihuman factor V antibodies after use of relatively pure bovine thrombin. Ann Thorac Surg. 2005;79:1037–8.PubMedCrossRef Lawson JH, Lynn KA, Vanmatre RM, et al. Antihuman factor V antibodies after use of relatively pure bovine thrombin. Ann Thorac Surg. 2005;79:1037–8.PubMedCrossRef
52.
Zurück zum Zitat Chapman WC, Singla N, Genyk Y, et al. A phase 3, randomized, double-blind comparative study of the efficacy and safety of topical recombinant human thrombin and bovine thrombin in surgical hemostasis. J Am Coll Surg. 2007;205(2):256–65.PubMedCrossRef Chapman WC, Singla N, Genyk Y, et al. A phase 3, randomized, double-blind comparative study of the efficacy and safety of topical recombinant human thrombin and bovine thrombin in surgical hemostasis. J Am Coll Surg. 2007;205(2):256–65.PubMedCrossRef
53.
Zurück zum Zitat Orlandi RR, Lanza DC. Is nasal packing necessary following endoscopic sinus surgery? Laryngoscope. 2004;114:1541–4.PubMedCrossRef Orlandi RR, Lanza DC. Is nasal packing necessary following endoscopic sinus surgery? Laryngoscope. 2004;114:1541–4.PubMedCrossRef
54.
Zurück zum Zitat Mo JH, Han DH, Shin HW, et al. No packing versus packing after endoscopic sinus surgery: pursuit of patients’ comfort after surgery. Am J Rhinol. 2008;22(5):525–8.PubMedCrossRef Mo JH, Han DH, Shin HW, et al. No packing versus packing after endoscopic sinus surgery: pursuit of patients’ comfort after surgery. Am J Rhinol. 2008;22(5):525–8.PubMedCrossRef
55.
Zurück zum Zitat Kastl KG, Betz CS, Siedek V, Leunig A. Control of bleeding following functional endoscopic sinus surgery using carboxy-methylated cellulose packing. Eur Arch Otorhinolaryngol. 2009;266:1239–43.PubMedCrossRef Kastl KG, Betz CS, Siedek V, Leunig A. Control of bleeding following functional endoscopic sinus surgery using carboxy-methylated cellulose packing. Eur Arch Otorhinolaryngol. 2009;266:1239–43.PubMedCrossRef
56.
Zurück zum Zitat Kastl KG, Betz CS, Siedek V, Leunig A. Effect of carboxymethylcellulose nasal packing on wound healing after functional endoscopic sinus surgery. Am J Rhinol. 2009;23(1):80–4.CrossRef Kastl KG, Betz CS, Siedek V, Leunig A. Effect of carboxymethylcellulose nasal packing on wound healing after functional endoscopic sinus surgery. Am J Rhinol. 2009;23(1):80–4.CrossRef
57.
Zurück zum Zitat Wright ED, Agrawal S. Impact of perioperative systemic steroids on surgical outcomes in patients with chronic rhinosinusitis with polyposis: evaluation with the novel perioperative sinus endoscopy (POSE) scoring system. Laryngoscope. 2007;117(11 pt 2 suppl 115):1–28.PubMedCrossRef Wright ED, Agrawal S. Impact of perioperative systemic steroids on surgical outcomes in patients with chronic rhinosinusitis with polyposis: evaluation with the novel perioperative sinus endoscopy (POSE) scoring system. Laryngoscope. 2007;117(11 pt 2 suppl 115):1–28.PubMedCrossRef
58.
Zurück zum Zitat Cote DWJ, Wright ED. Triamcinolone-impregnated nasal dressing following endoscopic sinus surgery: a randomized, double-blind, placebo-controlled study. Laryngoscope. 2010;120:1269–73.PubMed Cote DWJ, Wright ED. Triamcinolone-impregnated nasal dressing following endoscopic sinus surgery: a randomized, double-blind, placebo-controlled study. Laryngoscope. 2010;120:1269–73.PubMed
59.
Zurück zum Zitat DePoortere D, Kofonow JM, Chiu AG, Cohen NA. Enhanced postsurgical remucosalization in a rabbit model. Presented at the American Rhinologic Society Annual Meeting, 2010. DePoortere D, Kofonow JM, Chiu AG, Cohen NA. Enhanced postsurgical remucosalization in a rabbit model. Presented at the American Rhinologic Society Annual Meeting, 2010.
Metadaten
Titel
Advances in the Surgical Management of Chronic Sinusitis and Nasal Polyps
verfasst von
Vijay R. Ramakrishnan
David W. Kennedy
Publikationsdatum
01.06.2011
Verlag
Current Science Inc.
Erschienen in
Current Allergy and Asthma Reports / Ausgabe 3/2011
Print ISSN: 1529-7322
Elektronische ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-011-0182-y

Weitere Artikel der Ausgabe 3/2011

Current Allergy and Asthma Reports 3/2011 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

HNO-Op. auch mit über 90?

16.04.2024 HNO-Chirurgie Nachrichten

Mit Blick auf das Risiko für Komplikationen nach elektiven Eingriffen im HNO-Bereich scheint das Alter der Patienten kein ausschlaggebender Faktor zu sein. Entscheidend ist offenbar, wie fit die Betroffenen tatsächlich sind.

Intrakapsuläre Tonsillektomie gewinnt an Boden

16.04.2024 Tonsillektomie Nachrichten

Gegenüber der vollständigen Entfernung der Gaumenmandeln hat die intrakapsuläre Tonsillektomie einige Vorteile, wie HNO-Fachleute aus den USA hervorheben. Sie haben die aktuelle Literatur zu dem Verfahren gesichtet.

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