Rhinology: Sinus surgery in the older patient

Kanaan, Alissa

doi:10.1016/j.otot.2020.07.002

Cited by 2 publications

(1 citation statement)

References 34 publications

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“…Previous investigations have indicated that AO is caused by recurrent sinusitis and obstructed sinus drainage. 19 By contrast, our data showed that AO was associated with greater MSNO diameter. Study limitations.…”

Section: Comparison Of Ei and Msno Dimensions Between Sides Gender And Age Groupscontrasting

confidence: 87%

Factors affecting dimensions of the ethmoid infundibulum and maxillary sinus natural ostium in a normal population

Basurrah

Kim

2021

SMJ

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Objectives: To investigate the ethmoid infundibulum (EI) and maxillary sinus natural ostium (MSNO) dimensions in normal sinuses of the Asian population; identified variation between sides, gender, and age groups; and to assess the effects of such variation on the measurements. Methods:We assessed EI dimension and MSNO diameter in computed tomography (CT) scans of the normal paranasal sinus of 100 patients who underwent trans-sphenoid endoscopic surgery. We compared demographic data and multiple anatomical variations. Results:The gap difference in EI length between the right and left sides significantly differed from 0 (0.47±1.38 mm). We found wider EI in people aged Original Article ≥60 years (2.44±0.59 mm), compared to people aged <60 years (2.25±0.31 mm). Ethmoid infundibulum length was greater among individuals with Haller cells (8.84±1.56 mm) than in individuals without them (7.92±1.47 mm). Furthermore, MSNO diameter was greater with accessory ostium (3.48±0.77 mm versus 3.02±0.72 mm, presence versus accessory ostium absence). Conclusion:Multiple factors may affect EI and MSNO dimensions. Ethmoid infundibulum length differed between both sides. Ethmoid infundibulum width differed between individuals aged ≥60 years and individuals aged <60 years. Haller cells and accessory ostium presence were associated with significant differences in those measurements.

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Section: Comparison Of Ei and Msno Dimensions Between Sides Gender And Age Groupscontrasting

confidence: 87%

Factors affecting dimensions of the ethmoid infundibulum and maxillary sinus natural ostium in a normal population

Basurrah

Kim

2021

SMJ

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Managing Chronic Rhinosinusitis with Nasal Polyps in the Elderly: Challenges and Solutions

Merrill¹,

Kanaan²

2022

CIA

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The proportion of the population over 65 years old continues to grow. Chronic rhinosinusitis is common in this population and causes a reduction in quality of life and an increase in health care utilization. Diagnosis of chronic rhinosinusitis with nasal polyps follows the same principles for elderly patients as in the general population, but the elderly population presents some diagnostic challenges worth considering. Presbynasalis, the anatomic and functional changes of the nose and paranasal sinuses associated with aging must be accounted for when caring for these patients. In addition, polypharmacy and other medical issues that can cause similar symptoms must be considered. Medical therapy is generally similar to the general population but with additional concerns given the propensity for geriatric patients to be on multiple medications and to suffer from multiple medical issues. Sinus surgery should be considered following the same indications as in the general population. While some authors have found higher complication rates in endoscopic sinus surgery, others have found higher rates of success. As always, the risks of surgery must be considered with the possible benefits on a patient-to-patient basis.

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Rhinology: Sinus surgery in the older patient

Cited by 2 publications

References 34 publications

Factors affecting dimensions of the ethmoid infundibulum and maxillary sinus natural ostium in a normal population

Factors affecting dimensions of the ethmoid infundibulum and maxillary sinus natural ostium in a normal population

Managing Chronic Rhinosinusitis with Nasal Polyps in the Elderly: Challenges and Solutions

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