The role of CT and endoscopy in the evaluation of patients referred for intranasal Cryoablation
| Autor: | Amber U Luong, William C. Yao, Martin J. Citardi, Isaac L. Schmale |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Rhinology medicine.medical_specialty medicine.medical_treatment Physical examination Cryosurgery Ambulatory Care medicine Humans Post-nasal drip Medical diagnosis Referral and Consultation Aged Retrospective Studies Rhinitis medicine.diagnostic_test business.industry Patient Selection Endoscopy Cryoablation Middle Aged Work-up Otorhinolaryngology Chronic Disease Female Nasal administration Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | American Journal of Otolaryngology. 42:102971 |
| ISSN: | 0196-0709 |
| DOI: | 10.1016/j.amjoto.2021.102971 |
| Popis: | Background Cryoablation (CA) of the posterior nasal nerves has garnered increasing interest as an office-based procedure for chronic rhinitis (CR). Standardized preoperative evaluation, specifically the role of computed tomography (CT) and nasal endoscopy, has yet to be defined. We report a series of patients who underwent CT and endoscopy as part of CR work-up in patients referred for CA. Objective Highlight the importance of both nasal endoscopy and CT scan in the evaluation of CR given significant overlap of symptoms and common occurrence of related sinonasal conditions. Methods Retrospective analysis of all patients referred to a single tertiary rhinology practice for CA was performed. Results Fifteen patients were sent for CA by medical allergists. Five patients were deemed CA candidates, and 1 patient received only medical CR treatment. Four patients had evidence of incomplete prior sinus surgery and/or continued chronic rhinosinusitis on endoscopic exam. These 4 patients received a combination of medical and surgical management with either complete resolution or improvement in CR symptoms. In 3 patients, CT confirmed chronic rhinosinusitis that was not apparent on endoscopy, and received a combination of medical and surgical management with symptom improvement. In the last two patients, final diagnoses were nasal valve collapse and recurrent acute rhinosinusitis. Conclusions Referrals for CA are becoming more common and the optimal preoperative work up remains unclear. In this limited retrospective review, 67% of patients had diagnoses other than CR and thus were not deemed candidates for CA. Both CT and endoscopy are complementary to a detailed history and physical examination and can aid in CA candidate selection. |
| Databáze: | OpenAIRE |
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