Long-Term Successes of Various Sinus Surgeries: A Comprehensive Analysis

Goldstein, Gregg H.; Kennedy, David W.

doi:10.1007/s11882-012-0336-6

Cited by 11 publications

(13 citation statements)

References 62 publications

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“…There are no generally acknowledged isolated parameters to define the success after endonasal sinus surgery [ 197 ]. The results can be assessed with regard to:…”

Section: Results (Outcome)mentioning

confidence: 99%

“…Today, FESS is the gold standard of surgical therapy of chronic rhinosinusitis [ 19 ], [ 173 ], [ 197 ], [ 198 ]. The extent of appropriate surgery, however, is still variable in actual concepts of FESS – the respective differences are not highlighted by specific evidence [ 197 ].…”

Section: Type and Technique Of Endonasal Sinus Surgerymentioning

confidence: 99%

“…Lateralization of the middle turbinate with potentially undesired obstruction of the accesses to the maxillary sinus, anterior ethmoid and frontal sinus because of scarring due to wound healing [ 389 ] occurs in 10–40% [ 448 ]. It can impair the surgical outcome and is often mentioned as reason for necessary revisions [ 15 ], [ 197 ], [ 362 ]. Measures and techniques to avoid or reduce those aspects are:…”

Section: Type and Technique Of Endonasal Sinus Surgerymentioning

confidence: 99%

See 2 more Smart Citations

Comprehensive review on endonasal endoscopic sinus surgery

Weber¹,

Hosemann

2015

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 14:Doc08

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“…There are no generally acknowledged isolated parameters to define the success after endonasal sinus surgery [ 197 ]. The results can be assessed with regard to:…”

Section: Results (Outcome)mentioning

confidence: 99%

Section: Type and Technique Of Endonasal Sinus Surgerymentioning

confidence: 99%

Section: Type and Technique Of Endonasal Sinus Surgerymentioning

confidence: 99%

See 1 more Smart Citation

Comprehensive review on endonasal endoscopic sinus surgery

Weber¹,

Hosemann

2015

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 14:Doc08

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“…Although it is poorly related with worsening of the patient symptoms, it is often mentioned as a reason for failure of FS surgery and necessity of revision surgery. 50 Some measures and techniques that aim to avoid or reduce the lateralization of the middle turbinate include the preservation of the horizontal part of the basal lamella of the middle turbinate and transseptal sutures. Further, "Bolgerisation" can be used for the creation of an intentional synechiae between the middle turbinate and the nasal septum by targeted injuring these two structures on the same level.…”

Section: Collapsing Of the Middle Meatusmentioning

confidence: 99%

The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts

Dassi¹,

Demarco²,

Mangussi‐Gomes³

et al. 2020

Int Arch Otorhinolaryngol

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Introduction The frontal sinus (FS) is the most complex of the paranasal sinuses due to its location, anatomical variations and multiple clinical presentations. The surgical management of the FS and of the frontal recess (FR) is technically challenging, and a complete understanding of its anatomy, radiology, main diseases and surgical techniques is crucial to achieve therapeutic success. Objectives To review the FS and FR anatomy, radiology, and surgical techniques. Data Synthesis The FS features a variety of anatomical, volumetric and dimensional characteristics. From the endoscopic point of view, the FR is the point of greatest narrowing and, to have access to this region, one must know the anatomical limits and the ethmoid cells that are located around the FR and very often block the sinus drainage. Benign diseases such as chronic rhinosinusitis (CRS), mucocele and osteomas are the main pathologies found in the FS; however, there is a wide variety of malignant tumors that can also affect this region and represent a major technical challenge to the surgeon. With the advances in the endoscopic technique, the vast majority of diseases that affect the FS can be treated according to Wolfgang Draf, who systemized the approaches into four types (I, IIa, IIb, III). Conclusion Both benign and malignant diseases that affect the FS and FR can be successfully managed if one has a thorough understanding of the FS and FR anatomy, an individualized approach of the best surgical technique in each case, and the appropriate tools to operate in this region.

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“…Anatomical and/or inflammatory disruptive factors are removed. In addition, the access for topical medication is improved [119].…”

Section: Extent Of Surgerymentioning

confidence: 99%

Qualität in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen

Hildenbrand

Ketterer

2020

Laryngo-Rhino-Otol

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Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 ZusaMMenfassung Die endonasale endoskopische Nasennebenhöhlenchirurgie hat sich als Standard der operativen Therapie bei chronisch entzündlichen Erkrankungen der Nasennebenhöhlen etabliert. Eine Verbesserung der subjektiven Beschwerden und objektiven Befunde konnte in zahlreichen Studien nachgewiesen werden. Aufgrund der häufig beobachteten Diskrepanz zwischen objektiven und subjektiven Ergebnissen nach Nasennebenhöhlenchirurgie kommt der Messung des sog. patient reported outcome eine zunehmende Bedeutung zu. Qualität und Effizienz in der Medizin haben in den letzten Jahren zunehmend an Bedeutung gewonnen. In vielen Ländern und auch länderübergreifend wurden bereits durch Zusammenschluss von Experten, z.T unter Federführung verschiedener Fachgesellschaften, Initiativen zur Verbesserung der Qualität in der chirurgischen Versorgung gegründet.Die vorliegende Arbeit stellt eine Übersicht qualitätsrelevanter Faktoren in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen anhand der vorhandenen Literatur, v.a. der Prozess-und Ergebnisqualität, dar. Ein besonderes Augenmerk liegt auf der subjektiven Bewertung der Ergebnisqualität durch den Patienten.absTraCT Endonasal endoscopic surgery of the paranasal sinuses is the gold standard in surgical treatment of chronic inflammatory diseases of the paranasal sinuses. Improvement of subjective complaints and objective findings has been confirmed in numerous studies. Due to the discrepancy between objective and subjective results after paranasal sinus surgery, the assessment of patient reported outcomes has gained importance.Quality and efficiency in medicine became increasingly important during the last years. In many countries and transnationally, the association of experts, partly coordinated by different medical societies, led to initiatives focusing on improvement of the quality of surgical care. The present article represents an overview of quality-related factors in surgical treatment of chronic inflammatory diseases of the paranasal sinuses, summarizing the existing literature and focusing particularly on process and outcomes quality. Particular attention will be paid to the outcome quality individually assessed by the patients. S5Online publiziert: 16.03.2020 Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 Referat < 200 200 -400 Anzahl der Operationen Anzahl der Kliniken in % > 400 57,6 % 38,3 % 36,4 % 12,8 % städtisch/kirchlich/privat Uniklinik Krankenhaus S7 Hildenbrand T et al. Qualität in der chirurgischen … Laryngo-Rhino-Otol 2020; 99: S5-S33 Referat ren < 20 Operationen pro Jahr durch. Zwischen 20 und 50 Operationen werden von 38,4 % der Kliniken durchgeführt und mehr als 50 Operationen geben lediglich 2 % der Kliniken an (▶abb. 2). 83,1 % aller Kliniken gaben an, an einem interdisziplinären Tumorboard teilzunehmen und 68,4 % führen interdisziplinäre Tumoroperationen bei Erkrankungen der Nasennebenhöhle...

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Long-Term Successes of Various Sinus Surgeries: A Comprehensive Analysis

Cited by 11 publications

References 62 publications

Comprehensive review on endonasal endoscopic sinus surgery

Comprehensive review on endonasal endoscopic sinus surgery

The Frontal Sinus and Frontal Recess: Anatomical, Radiological and Surgical Concepts

Qualität in der chirurgischen Therapie chronisch entzündlicher Erkrankungen der Nasennebenhöhlen

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