Conservative approach to inflammatory nasofrontal duct disease
| Autor: | Joseph B. Jacobs, Victor M. Lagmay, Angela Damiano, Richard A. Lebowitz |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Disease Asymptomatic 03 medical and health sciences 0302 clinical medicine Frontal Sinusitis medicine Humans 030223 otorhinolaryngology Aged Postoperative Care Frontal sinus Ethmoid Sinusitis medicine.diagnostic_test business.industry Endoscopy General Medicine Hyperplasia Middle Aged medicine.disease Surgery Stenosis medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Chronic Disease medicine.symptom Complication business Duct (anatomy) Follow-Up Studies |
| Zdroj: | The Annals of otology, rhinology, and laryngology. 107(8) |
| ISSN: | 0003-4894 |
| Popis: | Endoscopic data reveal that mucosal disease frequently recurs following the surgical treatment of chronic diffuse hyperplastic frontal sinus and nasofrontal duct disease. However, this group of patients often remains asymptomatic. We present 40 patients who underwent endoscopic sinus surgery with a 4-year mean follow-up. Postoperative endoscopy revealed mucosal disease within the frontal recess in 39 of the 40 (97.5%) patients; however, only 3 of the 40 (7.5%) were symptomatic. Of these 3 patients, 1 underwent revision surgery. Historical information demonstrates the potential for significant nasofrontal duct stenosis associated with such revision surgery. On the basis of our initial results, endoscopic observation and medical therapy seem to be successful in controlling the symptoms associated with this disease process. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|