| Autor: |
Videler, Ward J.M., Wreesmann, Volkert B., van der Meulen, Freerk W., Knegt, Paul P., Fokkens, Wytske J. |
| Zdroj: |
Otolaryngology-Head & Neck Surgery; Apr2006, Vol. 134 Issue 4, p586-591, 6p |
| Abstrakt: |
Objectives: Endoscopic sinus surgery (ESS) is considered to be the golden standard for surgery in patients with chronic rhinosinusitis and nasal polyposis. However, there is still a small group of patients unresponsive despite repetitive surgery. Radical surgery aimed at reduction of the inflammatory burden and optimization of drainage of the sinuses has been suggested as a last resort for these patients. Study design: A prospective, questionnaire-based study was conducted in a group of 23 patients who underwent Denker’s procedure for refractory chronic rhinosinusitis. Symptoms were evaluated before Denker’s procedure and 12 months and 2 years after surgery. Results: Patients reported improvement of feelings of congestion in 74%, rhinorrhea in 70%, and nasal obstruction in 60% of the cases. The following postoperative improvements were statistically significant: rhinorrhea (P = 0.001), feelings of congestion (P = 0.02), and nasal obstruction (P = 0.03). Reduced olfactory perception and asthma did not improve. Conclusion: Radical surgery may be a viable treatment option in case of recurrent ESS failure. EBM rating: C-4 [Copyright &y& Elsevier] |
| Databáze: |
Complementary Index |
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