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Endoscopic view of the sphenoid sinus seen through the posterior ethmoid sinus

October 24, 2013  |  Joseph P. Mirante, MD, FACS; Dewey A. Christmas, MD; Eiji Yanagisawa, MD, FACS

Care must be taken when entering the sphenoid sinus, to dissect inferiorly and medially to avoid injury to the vital structures of the lateral wall of the sphenoid sinus.

How closely related are allergic rhinitis, asthma, and chronic sinusitis?

September 19, 2013  |  Mahmoud Ghaderi, DO, FAOCO

Various triggers may have different presentations and thus create a clinically known diverse group of diseases that we have classically grouped as chronic rhinosinusitis.

Endoscopic view of the drainage pathway of a pneumatized uncinate process

August 22, 2013  |  Dewey A. Christmas, MD; Joseph P. Mirante, MD, FACS; and Eiji Yanagisawa, MD, FACS

Pneumatized structures of the nose and sinuses have a mucosal lining whose mucociliary clearance will be associated with a drainage pathway into the nose.

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

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


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 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


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...

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


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-...

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


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


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


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


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


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...


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