Clinical Outcome of Endoscopic Surgery for Frontal Sinusitis

Metson, Ralph; Gliklich, Richard E.

doi:10.1001/archotol.124.10.1090

Cited by 80 publications

(66 citation statements)

References 17 publications

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“…It could be verified that endonasal sinus surgery reduces nasal impairments of CRS patients [6,13,37,47]. Another study with this questionnaire dealing with cost-benefit analysis after endonasal sinus surgery revealed that the treatment of mild forms of CRS is more cost-effective when compared with the treatment of pansinusitis [49].…”

Section: Chronic Sinusitis Survey (Css)mentioning

confidence: 81%

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Subjective Outcomes Assessment in Chronic Rhinosinusitis

Baumann¹

2010

TOOTORJ

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Abstract:The treatment of chronic rhinosinusitis (CRS) requires an increasing use of medical and economic resources. Therefore, the assessment of objective and subjective outcome of different treatment strategies is of considerable interest.Validated quality of life (QOL) instruments are one important means to assess subjective outcome of the patients. Frequently used generic instruments are the Short Form 36 Health Survey (SF-36) for prospective evaluations and the Glasgow Benefit Inventory (GBI) for retrospective evaluations. Normative data and numerous comparative data sets collected from various diseases are available for the SF-36.Disease-specific QOL instruments for CRS have been developed over the last 15 years. In this review 11 disease-specific instruments are discussed. Only four of these instruments cover all four main symptoms of CRS and are completely validated as well. Most frequently used instruments (Sino-Nasal Outcome Test, SNOT-20; Chronic Sinusitis Survey, CSS) do not query all the main symptoms of CRS.

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Section: Chronic Sinusitis Survey (Css)mentioning

confidence: 81%

“…In 1996, the healthcare expenditures for sinusitis in the US were 5.8 billion Dollars [5]. Gliklich and Metson [6] performed a break-even analysis and calculated a time period of 7 years until amortization of treatment costs can be achieved by reduced postoperative use of resources.…”

Section: Introductionmentioning

confidence: 99%

Subjective Outcomes Assessment in Chronic Rhinosinusitis

Baumann¹

2010

TOOTORJ

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“…Experiences in endoscopic surgery for frontal sinusitis and orbital decompression have added significantly to the progress in minimally invasive cranial base surgery. 29,30,37,49 Once considered an adjunct to microsurgical techniques, the EEEA now has become an evolving alternative in many centers in achieving resection through a smaller corridor to decrease patient morbidity. Kassam et al described some of the advantages of the EEEA in comparison with traditional transcranial approaches include reduction in the extent of bone resection, elimination of brain retraction, and less manipulation of neu rovascular structures.…”

Section: 44mentioning

confidence: 99%

Extracranial ligation of ethmoidal arteries before resection of giant olfactory groove or planum sphenoidale meningiomas: 3 illustrative cases with a review of the literature on surgical techniques

Manjila¹,

Cox²,

Smith³

et al. 2013

FOC

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Object There are several surgical techniques for reducing blood loss—open surgical and endoscopic—prior to resection of giant anterior skull base meningiomas, especially when preoperative embolization is risky or not technically feasible. The authors present examples of an institutional experience using surgical ligation of the anterior and posterior ethmoidal arteries producing persistent tumor blush in partially embolized tumors. Methods The authors identified 12 patients who underwent extracranial surgical ligation of ethmoidal arteries through either a transcaruncular or a Lynch approach. Of these, 3 patients had giant olfactory groove or planum sphenoidale meningiomas. After approval from the institution privacy officer, the authors studied the medical records and imaging data of these 3 patients, with special attention to surgical technique and outcome. The variations of ethmoidal artery foramina pertaining to this surgical approach were studied using preserved human skulls from the Hamann-Todd Osteological Collection at the Museum of Natural History, Cleveland, Ohio. Results The extracranial ligation was performed successfully for control of the ethmoidal arteries prior to resection of hypervascular giant anterior skull base meningiomas. The surgical anatomy and landmarks for ethmoidal arteries were reviewed in anthropology specimens and available literature with reference to described surgical techniques. Conclusions Extracranial surgical ligation of anterior, and often posterior, ethmoidal arteries prior to resection of large olfactory groove or planum sphenoidale meningiomas provides a safe and feasible option for control of these vessels prior to either open or endoscopic resection of nonembolized or partially embolized tumors.

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“…The Philadelphia group found in their series of 130 frontal sinusotomies that 10 (8%) required further intervention based on endoscopic findings and the ability to cannulate the frontal sinus [14]. Other centres have also reported excellent results using similar endoscopic techniques [3,15] and have been able to demonstrate a significant improvement in the quality of life of the patients post-operatively [16]. Maintaining the theme of the minimally invasive approach, the frontal sinus rescue procedure is an alternative option to employ when the middle turbinate has been previously resected [17,18].…”

Section: Endoscopic Frontal Sinusotomymentioning

confidence: 99%