Recent advances in the surgical management of rhinosinusitis
| Autor: | Adrienne M. Laury, Alexandria F Jaksha, Erik K. Weitzel |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Surgical results
medicine.medical_specialty Rhinology & Paranasal Sinus Disease Chronic rhinosinusitis Population Respiratory Pediatrics Review Interstitial Lung Diseases surgical management General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Intervention (counseling) medicine sinus surgery General Pharmacology Toxicology and Pharmaceutics 030223 otorhinolaryngology education education.field_of_study nasal polyps General Immunology and Microbiology business.industry chronic rhinosinusitis Articles General Medicine Perioperative Innate Immunity 030228 respiratory system Steroid use Respiratory Infections Emergency medicine business Surgical patients |
| Zdroj: | F1000Research |
| ISSN: | 2046-1402 |
| DOI: | 10.12688/f1000research.9163.1 |
| Popis: | Rhinosinusitis affects a significant portion of the US population, and its management imposes a substantial burden on the healthcare system. The treatment of chronic rhinosinusitis includes initial medical management prior to consideration of surgical intervention. However, if surgery does become necessary, several factors must be considered in order to optimize outcomes. This review evaluates surgical patient selection, perioperative medical management, and the extent of operative intervention, with the goal of improving surgical results, decreasing the need for revision surgery, and enhancing the patient’s quality of life. Specific variations in patient genotypes and phenotypes will be further explored with regard to their implications on surgical outcomes. Additionally, the evidence behind pre- and post-operative antibiotic and steroid use will be evaluated. Finally, we will review evolving surgical tools and techniques that are currently being utilized for the treatment of specific subsets of rhinosinusitis. |
| Databáze: | OpenAIRE |
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