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David Kieff - One of the best experts on this subject based on the ideXlab platform.

  • Endoscopic Sinus Surgery for inflammatory maxillary Sinus disease.
    The Laryngoscope, 2020
    Co-Authors: Nicolas Y Busaba, David Kieff
    Abstract:

    The role of Endoscopic Sinus Surgery for treating chronic maxillary Sinusitis is well established. The purpose of the study is to determine the efficacy of Endoscopic Sinus Surgery in the treatment of maxillary Sinus inflammatory disease that includes mucoceles, retention cysts, and antrochoanal polyps. This is a retrospective review of 32 consecutive patients who underwent Endoscopic Sinus Surgery for mucoceles (n = 21), retention cysts (n = 5), or antrochoanal polyps (n = 6). The medical records were reviewed for patient demographics, presenting symptoms, and type of operation. Surgical outcome was determined by resolution of symptoms, recurrence of disease, and need for revision or additional Surgery. Ethmoidectomy with middle meatal antrostomy was performed in all patients; 28 patients had additional middle turbinectomy. Postoperative follow-up ranged from 6 months to 4 years. The operation resulted in resolution of symptoms and a patent antrostomy on long-term follow-up in all cases of mucoceles. No case required revision Surgery. On the other hand, the disease recurred in three patients (60%) with retention cysts and three patients (50%) with antrochoanal polyps despite patent antrostomies. The recurrences occurred 3 to 6 months after the Surgery. The recurrent cases of antrochoanal polyps required Caldwell Luc procedures. The three failures in cases of retention cysts were successfully managed with repeated office Endoscopic marsupialization through a patent antrostomy. Endoscopic Sinus Surgery is an effective treatment for mucoceles, with favorable long-term outcome. Maxillary retention cysts commonly recur after Endoscopic Sinus Surgery. However, the recurrence can be managed in the office through a patent antrostomy. Endoscopic Sinus Surgery may be offered as initial surgical treatment for antrochoanal polyps, but a Caldwell Luc operation may be needed for recurrent disease.

  • Endoscopic Sinus Surgery for inflammatory maxillary Sinus disease
    Laryngoscope, 2002
    Co-Authors: Nicolas Y Busaba, David Kieff
    Abstract:

    Objective/Hypothesis: The role of Endoscopic Sinus Surgery for treating chronic maxillary Sinusitis is well established. The purpose of the study is to determine the efficacy of Endoscopic Sinus Surgery in the treatment of maxillary Sinus inflammatory disease that includes mucoceles, retention cysts, and antrochoanal polyps. Study Design: This is a retrospective review of 32 consecutive patients who underwent Endoscopic Sinus Surgery for mucoceles (n = 21), retention cysts (n = 5), or antrochoanal polyps (n = 6). Methods: The medical records were reviewed for patient demographics, presenting symptoms, and type of operation. Surgical outcome was determined by resolution of symptoms, recurrence of disease, and need for revision or additional Surgery. Results: Ethmoidectomy with middle meatal antrostomy was performed in all patients; 28 patients had additional middle turbinectomy. Postoperative follow-up ranged from 6 months to 4 years. The operation resulted in resolution of symptoms and a patent antrostomy on long-term follow-up in all cases of mucoceles. No case required revision Surgery. On the other hand, the disease recurred in three patients (60%) with retention cysts and three patients (50%) with antrochoanal polyps despite patent antrostomies. The recurrences occurred 3 to 6 months after the Surgery. The recurrent cases of antrochoanal polyps required Caldwell Luc procedures. The three failures in cases of retention cysts were successfully managed with repeated office Endoscopic marsupialization through a patent antrostomy. Conclusions: Endoscopic Sinus Surgery is an effective treatment for mucoceles, with favorable long-term outcome. Maxillary retention cysts commonly recur after Endoscopic Sinus Surgery. However, the recurrence can be managed in the office through a patent antrostomy. Endoscopic Sinus Surgery may be offered as initial surgical treatment for antrochoanal polyps, but a Caldwell Luc operation may be needed for recurrent disease.

Eric A. Mair - One of the best experts on this subject based on the ideXlab platform.

  • Pediatric functional Endoscopic Sinus Surgery: frequently asked questions.
    Annals of Otology Rhinology and Laryngology, 2006
    Co-Authors: Benjamin B. Cable, Eric A. Mair
    Abstract:

    Pediatric Endoscopic Sinus Surgery is a controversial procedure that has evolved considerably over the past 2 decades. We present a current review of the literature regarding the treatment of children with refractory Sinusitis with a focus on the use of Endoscopic Sinus Surgery. Preoperative evaluation, surgical technique, postoperative care, and unusual applications are discussed.

  • lacrimal drainage system injury in functional Endoscopic Sinus Surgery incidence analysis and prevention
    Archives of Otolaryngology-head & Neck Surgery, 1992
    Co-Authors: William E Bolger, Eric A. Mair, David S Parsons, Frederick A Kuhn
    Abstract:

    • Injury to the lacrimal drainage system with resultant epiphora is a complication of functional Endoscopic Sinus Surgery. A study of 24 patients was conducted to determine the incidence and significance of lacrimal drainage system injuries during functional Endoscopic Sinus Surgery. Intraoperative testing demonstrated seven occult injuries (15%) in 46 Endoscopic procedures. Postoperative testing demonstrated diversion of lacrimal drainage into the middle meatus in two patients and spontaneous healing of the injured lacrimal drainage system with restoration of normal drainage in three of the patients available for follow-up testing. In no patient did epiphora develop. It is concluded that the nasolacrimal drainage system is in close proximity to the dissection cavity during functional Endoscopic Sinus Surgery and, hence, is at risk for inadvertent injury. Occult damage to the nasolacrimal drainage system would appear to be a common event during functional Endoscopic Sinus Surgery; however, the complication of postoperative epiphora is rare. (Arch Otolaryngol Head Neck Surg.1992;118:1179-1184)

Nicolas Y Busaba - One of the best experts on this subject based on the ideXlab platform.

  • Endoscopic Sinus Surgery for inflammatory maxillary Sinus disease.
    The Laryngoscope, 2020
    Co-Authors: Nicolas Y Busaba, David Kieff
    Abstract:

    The role of Endoscopic Sinus Surgery for treating chronic maxillary Sinusitis is well established. The purpose of the study is to determine the efficacy of Endoscopic Sinus Surgery in the treatment of maxillary Sinus inflammatory disease that includes mucoceles, retention cysts, and antrochoanal polyps. This is a retrospective review of 32 consecutive patients who underwent Endoscopic Sinus Surgery for mucoceles (n = 21), retention cysts (n = 5), or antrochoanal polyps (n = 6). The medical records were reviewed for patient demographics, presenting symptoms, and type of operation. Surgical outcome was determined by resolution of symptoms, recurrence of disease, and need for revision or additional Surgery. Ethmoidectomy with middle meatal antrostomy was performed in all patients; 28 patients had additional middle turbinectomy. Postoperative follow-up ranged from 6 months to 4 years. The operation resulted in resolution of symptoms and a patent antrostomy on long-term follow-up in all cases of mucoceles. No case required revision Surgery. On the other hand, the disease recurred in three patients (60%) with retention cysts and three patients (50%) with antrochoanal polyps despite patent antrostomies. The recurrences occurred 3 to 6 months after the Surgery. The recurrent cases of antrochoanal polyps required Caldwell Luc procedures. The three failures in cases of retention cysts were successfully managed with repeated office Endoscopic marsupialization through a patent antrostomy. Endoscopic Sinus Surgery is an effective treatment for mucoceles, with favorable long-term outcome. Maxillary retention cysts commonly recur after Endoscopic Sinus Surgery. However, the recurrence can be managed in the office through a patent antrostomy. Endoscopic Sinus Surgery may be offered as initial surgical treatment for antrochoanal polyps, but a Caldwell Luc operation may be needed for recurrent disease.

  • Endoscopic Sinus Surgery for inflammatory maxillary Sinus disease
    Laryngoscope, 2002
    Co-Authors: Nicolas Y Busaba, David Kieff
    Abstract:

    Objective/Hypothesis: The role of Endoscopic Sinus Surgery for treating chronic maxillary Sinusitis is well established. The purpose of the study is to determine the efficacy of Endoscopic Sinus Surgery in the treatment of maxillary Sinus inflammatory disease that includes mucoceles, retention cysts, and antrochoanal polyps. Study Design: This is a retrospective review of 32 consecutive patients who underwent Endoscopic Sinus Surgery for mucoceles (n = 21), retention cysts (n = 5), or antrochoanal polyps (n = 6). Methods: The medical records were reviewed for patient demographics, presenting symptoms, and type of operation. Surgical outcome was determined by resolution of symptoms, recurrence of disease, and need for revision or additional Surgery. Results: Ethmoidectomy with middle meatal antrostomy was performed in all patients; 28 patients had additional middle turbinectomy. Postoperative follow-up ranged from 6 months to 4 years. The operation resulted in resolution of symptoms and a patent antrostomy on long-term follow-up in all cases of mucoceles. No case required revision Surgery. On the other hand, the disease recurred in three patients (60%) with retention cysts and three patients (50%) with antrochoanal polyps despite patent antrostomies. The recurrences occurred 3 to 6 months after the Surgery. The recurrent cases of antrochoanal polyps required Caldwell Luc procedures. The three failures in cases of retention cysts were successfully managed with repeated office Endoscopic marsupialization through a patent antrostomy. Conclusions: Endoscopic Sinus Surgery is an effective treatment for mucoceles, with favorable long-term outcome. Maxillary retention cysts commonly recur after Endoscopic Sinus Surgery. However, the recurrence can be managed in the office through a patent antrostomy. Endoscopic Sinus Surgery may be offered as initial surgical treatment for antrochoanal polyps, but a Caldwell Luc operation may be needed for recurrent disease.

Hassan H Ramadan - One of the best experts on this subject based on the ideXlab platform.

  • surgical causes of failure in Endoscopic Sinus Surgery
    Laryngoscope, 1999
    Co-Authors: Hassan H Ramadan
    Abstract:

    Objectives: Evaluate causes of surgical failure at time of revision Endoscopic Sinus Surgery. Study Design : Prospective review of 682 cases that had Endoscopic Sinus Surgery performed between 1991 and 1995. Methods: In all cases, variables of age, sex, asthma, allergy, computed tomography stage, associated procedures, complications, and operative findings were collected. Those cases that had a failure after a previous Endoscopic Sinus procedure and not an intranasal procedure or an external procedure were evaluated. Results: Fifty-two patients (7.6%) were identified. The age range was 24 to 70 years. The most common cause of failure was residual air cells and adhesions in the ethmoid area (30.7%), followed by maxillary Sinus ostium stenosis in 27%, frontal Sinus ostium stenosis in 25%, and a separate maxillary Sinus ostium stenosis in 15% of the cases. Conclusion: Review of surgical causes of failure in Endoscopic Sinus Surgery patients revealed that residual air cells and stenotic maxillary or frontal Sinus ostium were the most common causes of failures.

  • Complications of Endoscopic Sinus Surgery in a residency training program.
    The Laryngoscope, 1995
    Co-Authors: Hassan H Ramadan, G C Allen
    Abstract:

    Endoscopic Sinus Surgery has emerged in the last decade as the treatment of choice for chronic Sinusitis. Reports of complications of the procedure from different centers vary depending on the technique used and the experience of the surgeon. Between August 1990 and August 1993, 337 patients underwent Endoscopic Sinus Surgery at West Virginia University. Most of the cases were performed by senior residents under faculty supervision. Minor complications were encountered in 15.1% of the cases and major complications in 1.5% of the patients. The most common major complication was cerebrospinal fluid leak. All patients with cerebrospinal fluid leaks were diagnosed and treated successfully at the time of Surgery. Middle turbinate adhesions and orbital penetration were the most common minor complications. Routine partial middle turbinectomy did not decrease the adhesion rate. Endoscopic Sinus Surgery is a relatively safe procedure, even when performed by residents under adequate supervision.

Dale H. Rice - One of the best experts on this subject based on the ideXlab platform.

  • Platelet-rich plasma in Endoscopic Sinus Surgery.
    Ear nose & throat journal, 2006
    Co-Authors: Dale H. Rice
    Abstract:

    : The author designed a study to assess the healing properties of platelet-rich plasma (PRP) after Endoscopic Sinus Surgery in 30 patients with bilateral and symmetrical chronic rhinoSinusitis that was refractory to medical management. At the conclusion of each operation, PRP was introduced into the middle meatus of a randomly chosen side, while the other side was treated normally and served as a control. Patients were followed until both sides healed. After 13 operations, follow-up evaluations demonstrated no benefit to the use of PRP, and the study was terminated early. In general, both sides healed quickly and uneventfully as expected. There appears to be no advantage to the use of PRP in Endoscopic Sinus Surgery.

  • Middle turbinate resection: impact on outcomes in Endoscopic Sinus Surgery.
    Ear nose & throat journal, 2003
    Co-Authors: Charles Shih, Gregory Y. Chin, Dale H. Rice
    Abstract:

    : There is considerable controversy concerning the advisability and efficacy of middle turbinate resection in Endoscopic Sinus Surgery. Some have reported that it causes an increase in the incidence of frontal Sinusitis, while others have found no such association. Surprisingly, in a 35-year review of turbinate Surgery literature, Clement and White did not find a single prospective study of turbinate Surgery. In this article, we briefly report our prospective study of middle turbinate resection during Endoscopic Sinus Surgery. Our findings lead us to believe that middle turbinate resection has no deleterious effects on the results of Endoscopic Sinus Surgery.

  • Difficult decisions in Endoscopic Sinus Surgery.
    Otolaryngologic clinics of North America, 1993
    Co-Authors: Dale H. Rice, D Kennedy, S D Schaefer, E A Weymuller
    Abstract:

    In this article, case studies from four separate clinicians are presented along with comments. These cases offer unusual examples of problems that occur with Endoscopic Sinus Surgery.

  • Endoscopic Sinus Surgery.
    Otolaryngologic Clinics of North America, 1993
    Co-Authors: Dale H. Rice
    Abstract:

    Successful Endoscopic Sinus Surgery requires a thorough knowledge of the anatomy of the paranasal Sinuses and, in particular, the lateral nasal wall. This article discusses a variety of topics relating to Endoscopic Sinus Surgery, including physiology, patient evaluation, several surgical techniques, postoperative care, and complications.