Normalization of maxillary sinus mucosa after functional endoscopic sinus surgery in pediatric chronic sinusitis

Huang, Hsiao‐Ping; Lee, Hey-Ping; Liu, Chia‐Ming; Lin, Kai‐Wei

doi:10.1016/j.ijporl.2005.03.031

Cited by 11 publications

(7 citation statements)

References 14 publications

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“…The postoperative ST time for the edematous group is close to the analogous control value (14.55 AE 8.93 versus 13.92 AE 5.79, respectively), however, it remained obviously lower than that for the polypoid group (23.20 AE 13.99). This result is in line with the findings of other reports [10,18].…”

Section: Discussionsupporting

confidence: 94%

Mucosal healing and mucociliary transport change after endoscopic sinus surgery in children with chronic maxillary sinusitis

Huang

Cheng

Liu

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionsupporting

confidence: 94%

Mucosal healing and mucociliary transport change after endoscopic sinus surgery in children with chronic maxillary sinusitis

Huang

Cheng

Liu

et al. 2006

International Journal of Pediatric Otorhinolaryngology

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“…Based on these studies, we established 2 mm of mucous membrane as the threshold of mucous membrane thickening. We chose 4 months as the standard for the elapsed time after the extraction based on the observation by Huang et al [14] that when treating patients with chronic maxillary sinusitis, most maxillary sinus mucosa recovered within 4 months.…”

Section: Discussionmentioning

confidence: 99%

“…The causes of extraction were divided into three groups: the 'periodontal disease' group were those patients with teeth extracted due to periodontal disease, the 'pulp disease' group were those that had teeth extracted because of caries or endodontic problems, and the 'tooth fracture' group consisted of patients who had teeth extracted because of a fracture of a retained root or crown. Regarding the time elapsed since extraction, 4 months was chosen as the standard cutoff because Huang et al [14] reported that 4 months was required to recover a normal mucous membrane after surgery for maxillary sinusitis. Patients with less than 4 months elapsed since extraction were classified into Group A, from 4 to less than 12 months were classified into Group B, and those with more than 12 months were classified into Group C. Regarding the height of residual alveolar bone, those with less than 4 mm were classified into Group I, from 4 mm to less than 10 mm were classified into Group II, and those with more than 10 mm were classified into Group III.…”

Section: Methodsmentioning

confidence: 99%

Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

Yoo

Kim

et al. 2011

J Periodontal Implant Sci

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PurposeTo investigate the healing pattern of the mucous membrane after tooth extraction necessitated by periodontal disease in the maxillary sinus.MethodsOne hundred and three patients with 119 maxillary sinuses were investigated. Before implant placement, cone-beam computed tomography (CT) scanning was performed. The causes of extraction, the time elapsed since extraction, smoking, periodontal disease in adjacent teeth, and gender were recorded. In addition, the thickness of the mucous membrane of the maxillary sinus and the height of residual alveolar bone at the extracted area were calculated from CT images.ResultsThe thickness of the mucous membrane in the periodontal disease group (3.05±2.71 mm) was greater than that of the pulp disease group (1.92±1.78 mm) and the tooth fracture group (1.35±0.55 mm; P<0.05). The causes of extraction, the time elapsed since extraction, and gender had relationships with a thickening of the mucous membrane of the maxillary sinus (P<0.05). In contrast, the height of the residual alveolar bone at the extracted area, periodontal disease in adjacent teeth, and smoking did not show any relation to the thickening of the mucous membrane of the maxillary sinus.ConclusionsThe present study revealed distinct differences in healing patterns according to the causes of extraction in the maxillary sinus, especially periodontal disease, which resulted in more severe thickening of the mucous membrane.

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“…On the other hand, previous observations have shown that postoperative mucosal healing takes more than one month [23–26]. Endoscopic parameters, such as middle turbinate position, adhesions, inflammation, and crusting, have shown to have acceptable interexaminer reproducibility and are suitable for evaluating ESS outcomes in the postsurgical period [27, 28].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique

Luukkainen

Myller

Torkkeli

et al. 2012

ISRN Otolaryngology

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Background. Endoscopic sinus surgery (ESS) is considered for chronic rhinosinusitis (CRS) after failure of conservative therapy. Objective. The aim of this study was to evaluate endoscopically ostium patency and mucosal recovery after ESS, with either maxillary sinus ostium-preserving or -enlarging techniques. Materials and Methods. Thirty patients with non-polypous CRS were enrolled. Uncinectomy-only and additional middle meatal antrostomy were randomly and single-blindly performed for each side. Pre- and postoperative endoscopic scores were semi-quantitatively determined according to findings in the ostiomeatal complex area. Adhesions, maxillary sinus mucosal swelling, secretions, and ostium obstruction were also endoscopically evaluated. In addition, symptoms were asked and computed tomography scans were taken preoperatively and 9 months postoperatively. Results. At 16 days postoperatively, a better endoscopic score and a less obstructed ostium were found with antrosomy. At 9 months postoperatively the endoscopic score improved significantly and identically with both procedures, however, obstructed ostia and sinus mucosal swelling/secretions were insignificantly more frequently found on the uncinectomy-only side. Endoscopic and radiologic findings of the maxillary sinus mucosa and ostium correlated significantly 9 months postoperatively. Conclusion. There was a good long-term mucosal recovery with both surgical procedures. In terms of early mucosal recovery and ostium patency, antrostomy might be slighly superior.

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Normalization of maxillary sinus mucosa after functional endoscopic sinus surgery in pediatric chronic sinusitis

Cited by 11 publications

References 14 publications

Mucosal healing and mucociliary transport change after endoscopic sinus surgery in children with chronic maxillary sinusitis

Mucosal healing and mucociliary transport change after endoscopic sinus surgery in children with chronic maxillary sinusitis

Healing pattern of the mucous membrane after tooth extraction in the maxillary sinus

Endoscopic Sinus Surgery with Antrostomy Has Better Early Endoscopic Recovery in Comparison to the Ostium-Preserving Technique

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