OBJECTIVE There is currently no standardised management protocol following functional endoscopic sinus surgery. This study assessed frequent endoscopic cleaning versus minimal intervention in the early post-operative period following such surgery. STUDY DESIGN Prospective, randomised controlled, single-blinded, within-subject trial involving 24 patients with bilateral chronic rhinosinusitis u...

OBJECTIVES Patients who fail endoscopic drainage procedures for chronic frontal sinusitis often require obliteration of the frontal sinus with abdominal fat. The purpose of this study was to evaluate an endoscopic technique for frontal sinus obliteration. STUDY DESIGN AND SETTING Retrospective case-control. Thirty-five patients underwent frontal sinus obliteration using either an endoscopic (...

The Messerklinger technique is an endoscopic approach to sinus surgery designed to be minimally invasive and preserve mucosa and hence physiological function. More recently there have been advocates for more radical endoscopic approaches to the frontal sinus such as the Modified Lothrop. This review discusses different approaches to frontal sinus surgery including any advantages and disadvantag...

OBJECTIVE To determine the efficacy of endoscopic surgery for chronic frontal sinusitis. DESIGN A prospective analysis of established measures of clinical outcome (Chronic Sinusitis Survey and Short Form 36) that was administered to patients before frontal sinus surgery and at intervals of 3 months, 6 months, and 1 year after surgery. INTERVENTIONS For limited disease, the frontal recess wa...

AIM Minimally invasive method for retrieving displaced objects like implants from the maxillary antrum with minimal complications. BACKGROUND Minimal invasive endoscopic surgery has been developed for various indications in the craniomaxillofacial area. CASE DESCRIPTION In this article, a technique for endoscopic removal of a dental implant displaced into the maxillary sinus is presented. A...

Surgical Risks Every decision for therapy involves a risk-benefit analysis and a discussion of potential risks is beneficial for parents in order to put treatment options into perspective. Children probably have lower overall complication rates with endoscopic sinus surgery than adults, perhaps because they usually undergo more limited procedures. For adults, the incidence of serious operative ...

OBJECTIVE To analyze possible etiological factors of spontaneous cerebrospinal fluid (CSF) rhinorrhea and to assess the outcomes of endonasal endoscopic repair. DESIGN Retrospective study. SETTING Academic neurosurgical hospital. Patients Twenty-one consecutive patients who presented with spontaneous CSF leak and underwent endonasal endoscopic surgery from January 1999 through December 2001...

OBJECTIVES Corticosteroids are frequently used in a range of otorhinolaryngologic conditions due to their anti-inflammatory and antiedematous properties. In this meta-analysis, we aimed to assess the role of preoperative steroids for attenuating intraoperative bleeding during endoscopic sinus surgery among patients with nasal polyps. DATA SOURCES PubMed, SCOPUS, EMBASE, the Web of Science, an...

OBJECTIVE To examine the effects of endoscopic sinus surgery on the pulmonary status of cystic fibrosis (CF) patients through the objective parameters of steroid use, pulmonary function tests (PFTs), and inpatient hospital days (IHDs). METHODS Retrospective chart review of all patients with CF who underwent endoscopic sinus surgery from 1993 to 1999 at a tertiary care children's hospital. Pre...

BACKGROUND Silent sinus or imploding antrum syndrome is a very rare condition, consisting of a usually asymptomatic spontaneous collapse of the sinus walls and floor of the orbit. It is associated with negative pressures, and when this occurs, it presents with manifestations such as enophthalmos, hypoglobus, and tilt flow orbital floor. As its incidence is very low, it is frequently missed as a...