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Rhinosinusitis

Bipolar microdebrider may reduce intraoperative blood loss and operating time during nasal polyp surgery

August 10, 2012  |  Nishant Kumar, MD; Raj Sindwani, MD, FACS

Abstract

Bleeding during endoscopic sinus surgery (ESS) can interrupt the flow of the procedure and increase the risk of complications. Advances in microdebrider design now allow for bleeding to be controlled by bipolar energy during the suctioning and shaving of...

Allergic fungal rhinosinusitis in children

July 5, 2012  |  Ross Shockley, MD; Soham Roy, MD

Allergic fungal rhinosinusitis most often occurs in adolescents or young adults who exhibit nasal obstruction, congestion, purulent or clear rhinorrhea, anosmia, and headache--classic manifestations of chronic sinusitis.

The role of antifungal therapy in the prevention of recurrent allergic fungal rhinosinusitis after functional endoscopic sinus surgery: A randomized, controlled study

August 16, 2011  |  Yaser Khalil, MD, Adel Tharwat, MD, Asmaa Gaber Abdou, MD, Enas Essa, MD, Abdel Hamid Elsawy, MD, Osama Elnakib, MD, and Nada Farag Elnaidany, PhD

Abstract

Allergic fungal rhinosinusitis (AFRS) is the most common form of fungal sinus disease. Its recurrence rate is high despite numerous strategies to prevent it. We conducted a study to assess the effect of systemic and topical antifungal agents-both separately and in combination-...

The role of point-of-care CT in the management of chronic rhinosinusitis: A case-control study

August 16, 2011  |  David Conley, MD, Aaron Pearlman, MD, Kali Zhou, MD, Rakesh Chandra, MD, and Robert Kern, MD

Abstract

Point-of-care computed tomography (POC-CT) has become more feasible since the introduction of smaller imaging devices that deliver lower radiation doses. As the availability of this modality continues to increase, its impact on diagnostic and therapeutic algorithms in patients...

Comparison of maxillary sinus specimens removed during Caldwell-Luc procedures and traditional maxillary sinus antrostomies

June 14, 2011  |  Samuel S. Becker, MD, Deanne M. Roberts, MD, Peter A. Beddow, MA, Paul T. Russell, MD, and James A. Duncavage, MD

Abstract

The cases of 80 patients who underwent Caldwell-Luc surgery for the treatment of chronic rhinosinusitis between 2002 and 2007 at Vanderbilt University Medical Center's Department of Otolaryngology were reviewed. Data on demographics, comorbidities, details of surgery, surgical...

The internist's literature on chronic rhinosinusitis: An evaluation of the amount and quality of published information

August 1, 2010  |  Alexander C. Chester, MD, FACP

Abstract

Most patients with chronic rhinosinusitis (CRS) are treated by internists, yet the information available to internists about CRS is rarely assessed. The author undertook a study to evaluate the amount and quality of information about CRS that is available to internists. Four...

One-year results: Transantral balloon dilation of the ethmoid infundibulum

February 1, 2010  |  James Stankiewicz, MD, FACS, Theodore Truitt, MD, and James Atkins Jr., MD

Abstract

A prospective, multicenter research study is under way to demonstrate long-term improvement in chronic rhinosinusitis symptoms after transantral balloon dilation of the ethmoid infundibulum. Trial results from an interim analysis of symptomatic status using the Sino-Nasal...

Nasal foreign body as the cause of a subperiosteal orbital abscess in a child

February 1, 2010  |  Benjamin D. Webb, MD, Kevin D. Pereira, MD, MS (ORL), and Samer Fakhri, MD, FACS, FRCS

Abstract

We present what to the best of our knowledge is the first reported case of an orbital abscess as a result of acute rhinosinusitis caused by obstruction of the middle meatus secondary to the impaction of a nasal foreign body in a child. The patient, a 5-year-old Hispanic boy,...

Impaired mucociliary clearance in allergic rhinitis patients is related to a predisposition to rhinosinusitis

April 1, 2009  |  Ioannis Vlastos, MD, Ioannis Athanasopoulos, MD, PhD, Nicholas S. Mastronikolis, MD, PhD, Theodora Panogeorgou, MD, Vassilios Margaritis, MD, Stefanos Naxakis, MD, PhD, and Panos D. Goumas, MD

Abstract

Although mucociliary clearance has been shown to be impaired in patients with allergic rhinitis and chronic rhinosinusitis, its exact role in relation to a predisposition to rhinosinusitis is unknown. To investigate this possible association, we conducted a prospective study of...

Superior turbinate pneumatization in patients with chronic rhinosinusitis: Prevalence on paranasal sinus CT

September 26, 2008  |  Seth J. Kanowitz, MD, Annette O. Nusbaum, MD, Joseph B. Jacobs, MD, and Richard A. Lebowitz, MD

Abstract

With the availability of high-resolution computed tomography (CT), a great deal of attention has been paid to the anatomy of the paranasal sinuses. But while investigators have focused on the osteomeatal complex and its relation to chronic rhinosinusitis, there has been little...

Correlation of the ethmoid infundibulum to the medial orbital wall in maxillary sinus hypoplasia: “Infundibular lateralization,” a diagnostic CT finding

December 1, 2007  |  Arif Ali, DLO, MS, Mary Kurien, DLO, MS, and K.G. Selvaraj, PhD

Abstract

In patients with chronic rhinosinusitis, the presence of maxillary sinus hypoplasia (MSH) may be obscured by extensive mucosal disease or nasal polyposis. Recognition of MSH and its effect on adjacent anatomic structures is of utmost clinical significance in endoscopic sinus...

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