Maxillary sinus recovery and nasal ventilation after Le Fort I osteotomy: a prospective clinical, endoscopic, functional and radiographic evaluation
| Autor: | E.M. Baas, J. de Lange, E. Laurens, B.J. De Bondt, J.P. Te Rijdt, M.H. Valstar |
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| Přispěvatelé: | Maxillofacial Surgery (AMC), Graduate School, Other Research, Oral and Maxillofacial Surgery, MKA AMC (ORM, ACTA), Faculteit der Geneeskunde |
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Maxillary sinus Radiography medicine.medical_treatment Pilot Projects Nose Le Fort I osteotomy Osteotomy Postoperative Complications SDG 3 - Good Health and Well-being Surveys and Questionnaires medicine Maxilla otorhinolaryngologic diseases Humans Osteotomy Le Fort Prospective Studies Sinusitis Sinus (anatomy) business.industry Endoscopy Maxillary Sinus medicine.disease Surgery medicine.anatomical_structure Otorhinolaryngology Peak Nasal Inspiratory Flow Breathing Female Oral Surgery business Tomography X-Ray Computed |
| Zdroj: | Valstar, M H, Baas, E M, te Rijdt, J P, de Bondt, B J, Laurens, E & de Lange, J 2013, ' Maxillary sinus recovery and nasal ventilation after Le Fort I osteotomy: a prospective clinical, endoscopic, functional and radiographic evaluation ', International Journal of Oral and Maxillofacial Surgery, vol. 42, no. 11, pp. 1431-1436 . https://doi.org/10.1016/j.ijom.2013.05.009 International Journal of Oral and Maxillofacial Surgery, 42(11), 1431-1436. Churchill Livingstone International journal of oral and maxillofacial surgery, 42(11), 1431-1436. Churchill Livingstone |
| ISSN: | 0901-5027 |
| Popis: | The condition of the maxillary sinus is not routinely assessed before a Le Fort I osteotomy. Performing this procedure in an infected sinus might account for a considerable proportion of the complications, such as excessive bleeding and sinusitis. The aim of this study was to evaluate the maxillary sinus and nasal ventilation after Le Fort I osteotomy. Twenty patients were evaluated before and 2 months after surgery using validated questionnaires for sinonasal complaints (RSOM-31 and VAS score), nasal endoscopy, peak nasal inspiratory flow (PNIF), and a computed tomography (CT) scan. There were no differences in complaints before and 2 months after surgery (P > 0.24). Also, the PNIF did not change significantly (P = 0.10). On CT evaluation before surgery, a previously unnoted sinusitis was diagnosed in two patients. Postoperatively, a thickened sinus mucosa was present in all patients near the osteotomy line, the osteosyntheses, and around sequesters. This report describes maxillary sinus evaluation after Le Fort I osteotomy in a more comprehensive way by using CT. The Le Fort I procedure did not influence already existing physical or mental complaints, and nasal ventilation was not negatively affected. However, evaluation of sinonasal pathology should be emphasized in the preoperative work-up. |
| Databáze: | OpenAIRE |
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