Search results for "Sinusitis"

Endonasal Sinus Surgery: Extended versus Limited Approach

2002

Background This study was designed to investigate whether two different surgical approaches in endonasal sinus surgery lead to different postoperative results in patients with chronic rhinosinusitis. Methods Sixty-five patients suffering from chronic rhinosinusitis were operated on with either a limited approach or an extended approach. They were examined preoperatively and reassessed during 3 months, 6 months, and long-term follow-up visits that included endoscopy, saccharin transport time, and the assessment of symptoms. Results The concept of this study was prospective, randomized, and multicenter (Mainz, Germany, and Moscow, Russia). The results of the two different surgical approaches …

Course of olfaction after sinus surgery for chronic rhinosinusitis

2017

Background The influence of surgery on olfaction in patients who suffer from chronic rhinosinusitis (CRS) is still not fully understood. Most particularly, the time course of the recovery is poorly studied. Methods The prospective study describes the results of the Sniffin' Sticks identification test in 41 subjects before (V1), 2 weeks after (V2), and 6 months after (V3) endonasal sinus surgery (ESS). Influencing factors (gender, revision surgery, nasal polyposis, and initial olfactory score) on the changes of the smell testing were evaluated. Results The whole cohort showed a significant improvement in Identification scores, from 8.63 to 10.24 after 2 weeks and to 10.68 after 6 months. Pat…

Klinische Relevanz der NNH-CT vor Knochenmarktransplantation

1997

PURPOSE To investigate the clinical necessity of CT of the paranasal sinuses before bone marrow or peripheral blood stem cell transplantation. PATIENTS AND METHODS 80 patients with malignant disease underwent coronal CT of the paranasal sinuses prior to transplantation to exclude sinusitis. RESULTS CT revealed sinusitis requesting therapy in 17/80 patients (21%). Patients with leukaemia and non-Hodgkin lymphoma were significantly more affected. Chronic sinusitis was found in two patients, mucosal swelling not requesting therapy in 22, and normal findings in 39. CONCLUSION CT of the paranasal sinuses is advised in patients suffering haemoblastoses with an increased risk of infectious complic…

An Assessment of Radiologic Discrepancies in Patients with Paranasal Sinus Disease

1992

The importance of computerized tomographic (CT) imaging of the paranasal sinuses in patients with chronic or recurring sinusitis is well documented. Nevertheless, the accuracy and reliability of this examination is not absolute. In this study of 80 cases, a considerable percentage of CT scans (57.5%) failed to detail accurately the extent of pathology in the sinus cavities. In 39 cases the extent of disease was underestimated using CT, and in seven cases it was overestimated. Discrepancies in pathology were encountered most commonly in the posterior ethmoid sinus. In our opinion, the primary role of CT in the assessment of patients with paranasal sinus disease is to detail precisely the co…

Efficacy of Reslizumab with Asthma, Chronic Sinusitis with Nasal Polyps and Elevated Blood Eosinophils

2016

Comparison of Conventional Instruments and Mechanical Debriders for Surgery of Patients with Chronic Sinusitis

2003

Background This article compares the use of the microdebrider as a form of powered instrumentation designed to decrease mucosal trauma with traditional surgical instruments for endonasal sinus surgery. Methods Surgery was performed with the shaver or conventional instruments using an endonasal approach in 24 patients with bilateral chronic rhinosinusitis. Each patient served as his/her own control, meaning that one side was operated on with conventional instruments and the opposite side was operated on with the microdebrider to evaluate postoperative recovery, healing, and incidence of complications. They were stratified preoperatively and reassessed during 3- and 6-month follow-up and long…

Zum Einsatz des Ultraschalls in der Diagnostik von Nase und Nasennebenhöhlen

2005

Ultrasound is commonly performed to diagnose pathological processes of the neck and the salivary glands. In contrast, pathological changes of the sinuses and the bony structures of the face are only rarely examined sonographically. This paper deals with the diagnostic scope of ultrasound in the case of orbital and nasal fractures as well as for cases of sinus pathology excluding acute sinusitis. 51 patients with different diseases of this area were examined using US and X-ray or CT scan. Fractures of the nose could all be diagnosed correctly by ultrasound, which is of clinical importance if children or pregnant patients are examined. Blow-out fractures of the orbit were not detected. In con…

Clarithromycin in the Management of Chronic Rhinosinusitis: Preliminary Results of a Possible Its New Use

2018

The aim of this study is to evaluate the efficacy and safety of prolonged therapy with low-dose clarithromycin in patients with chronic rhinosinusitis with polyps (CRSwP) after endoscopic sinus surgery (ESS). A total of 10 patients with CRSwP were identified and subjected to bilateral ESS. In post-operative patients they were treated with nasal wash with saline solution and steroid sprays (beclomethasone). During follow-up, after 30–40 days after the operation (M = 35.4 SD = +4.33), patients reported a worsening of symptoms with onset of nasal obstruction; reduction/loss of smell; headache; onset of viscous secretions and therefore all patients continued therapy with saline nasal irrigation…

Quality assessment of systematic reviews regarding the effectiveness of zygomatic implants: an overview of systematic reviews

2020

Background Oral rehabilitation of atrophic maxillae features high complexity, for which there are several therapeutic modalities reported on scientific literature. Zygomatic implant placement is a viable option that features low morbidity and allows immediate prosthetic loading. The purpose of the present study was to determine the methodological quality of systematic reviews that assessed the effectiveness of zygomatic implants placed in atrophic maxillae. Material and Methods Searches were conducted on Medline via Pubmed, LILACS, Dare Cochrane, Scopus, and Sigle via Open Grey up to June 2019. Results Seven systematic reviews were eligible for Overview and comprised a total of 2313 patient…

Correlaciones clínicas, morfológicas y de calidad de vida en pacientes afectos de rinosinusitis crónica con poliposis nasal

2021

INTRODUCCIÓN La rinosinusitis crónica con pólipos nasosinusales (RSCcPN) es una en-fermedad desafiante que tiene un impacto significativo en la calidad de vida (CdV) de los pacientes. Los eosinófilos se consideran las células in-flamatorias más importantes en la patogénesis de la rinosinusitis con pólipos nasales. La posibilidad de predecir la CdV en los pacientes con RSCcPN permitiría optimizar su manejo y mejorar los resultados. OBJETIVO Conocer la asociación entre la CdV mediante el cuestionario Sinonasal Outcome Test -22 (SNOT-22) y parámetros histopatológicos y molecula-res (incluyendo eosinofilia y expresión de Mucina 1 –MUC1) en pacien-tes con RSCcPN. Los objetivos secundarios incluy…