Radiological anatomical variations of the lateral nasal wall and anterior skull base amongst different populations: A systematic review and meta‐analysis

Zahedi, Farah Dayana; Yaacob, Najib Majdi; Wang, De Yun; Abdullah, Baharudin

doi:10.1111/coa.13975

Cited by 1 publication

(1 citation statement)

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“…Multiple techniques are used to reduce blood flow to the intraoperative field during functional ESS (FESS). One study investigated whether the patient’s position during surgery (15° reverse Trendelenburg position vs horizontal position) had an impact on the endoscopic field of view and intraoperative blood loss, with the results still being uncertain [ 16 ]. TIVA and IA are two options for ESS.…”

Section: Reviewmentioning

confidence: 99%

Effect of Anesthesia on Endoscopic Sinus Surgery Hemostasis: a State-of-the-Art Review

Machado¹

2023

Cureus

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Endoscopic sinus surgery (ESS) is the gold standard for the management of chronic rhinosinusitis, nasal polyposis, and other pathology involving paranasal sinus as tumors. Intraoperative bleeding during ESS can be challenging due to the narrow sinonasal surgical field, single working hand, and the use of endoscopic instruments, which may affect hemostasis. There is a role for the type of anesthesia technique used for intraoperative bleeding control. Total intravenous anesthesia (TIVA) and inhalational anesthesia (IA) are some of the techniques available for anesthetic purposes. While both techniques have their advantages and disadvantages, there is a need to compare their efficacy and safety to determine which technique is more appropriate for ESS. In this review, our main focus was to summarize the current evidence about the different techniques of anesthesia used during ESS. A systematic review of the PubMed/MEDLINE database was performed using specific English terms related to TIVA and IA/volatile anesthesia used during ESS. A total of 548 publications were considered. Among these, 329 studies did not fulfill the criteria for inclusion in the systematic review, resulting in the inclusion of only 132 publications: 13 systematic reviews, 32 reviews, 92 randomized controlled trials, and 13 meta-analyses. The state of the art favors the use of TIVA during ESS due to its significant improvement in the intraoperative surgical field with less blood loss. Further studies aim to compare long-term nasal status with objective tools, ideally in similar pathology with the same surgeon.

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Section: Reviewmentioning

confidence: 99%

Effect of Anesthesia on Endoscopic Sinus Surgery Hemostasis: a State-of-the-Art Review

Machado¹

2023

Cureus

View full text Add to dashboard Cite

show abstract

Radiological anatomical variations of the lateral nasal wall and anterior skull base amongst different populations: A systematic review and meta‐analysis

Cited by 1 publication

References 61 publications

Effect of Anesthesia on Endoscopic Sinus Surgery Hemostasis: a State-of-the-Art Review

Effect of Anesthesia on Endoscopic Sinus Surgery Hemostasis: a State-of-the-Art Review

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