Radiological findings in patients undergoing revision endoscopic sinus surgery: a retrospective case series study
dc.contributor.author | Khalil, Hisham | |
dc.contributor.author | Eweiss, AZ | |
dc.contributor.author | Clifton, N | |
dc.date.accessioned | 2018-04-23T03:12:37Z | |
dc.date.issued | 2011-12 | |
dc.identifier.issn | 1472-6815 | |
dc.identifier.issn | 1472-6815 | |
dc.identifier.other | 4 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/11318 | |
dc.description.abstract |
BACKGROUND: Functional endoscopic sinus surgery (FESS) is now a well-established strategy for the treatment of chronic rhinosinusitis which has not responded to medical treatment. There is a wide variation in the practice of FESS by various surgeons within the UK and in other countries. OBJECTIVES: To identify anatomic factors that may predispose to persistent or recurrent disease in patients undergoing revision FESS. METHODS: Retrospective review of axial and coronal CT scans of patients undergoing revision FESS between January 2005 and November 2008 in a tertiary referral centre in South West of England. RESULTS: The CT scans of 63 patients undergoing revision FESS were reviewed. Among the patients studied, 15.9% had significant deviation of the nasal septum. Lateralised middle turbinates were present in 11.1% of the studied sides, and residual uncinate processes were identified in 57.1% of the studied sides. There were residual cells in the frontal recess in 96% of the studied sides. There were persistent other anterior and posterior ethmoidal cells in 92.1% and 96% of the studied sides respectively. CONCLUSIONS: Analysis of CT scans of patients undergoing revision FESS shows persistent structures and non-dissected cells that may be responsible for persistence or recurrence of rhinosinusitis symptoms. Trials comparing the outcome of conservative FESS techniques with more radical sinus dissections are required. | |
dc.format.extent | 4- | |
dc.format.medium | Electronic | |
dc.language | en | |
dc.language.iso | eng | |
dc.publisher | Springer Science and Business Media LLC | |
dc.subject | Patient Safety | |
dc.subject | 6.4 Surgery | |
dc.title | Radiological findings in patients undergoing revision endoscopic sinus surgery: a retrospective case series study | |
dc.type | journal-article | |
dc.type | Journal Article | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/21548971 | |
plymouth.issue | 1 | |
plymouth.volume | 11 | |
plymouth.publication-status | Published | |
plymouth.journal | BMC Ear, Nose and Throat Disorders | |
dc.identifier.doi | 10.1186/1472-6815-11-4 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/Peninsula Medical School | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA01 Clinical Medicine | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2011-05-07 | |
dc.identifier.eissn | 1472-6815 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1186/1472-6815-11-4 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2011-05-07 | |
rioxxterms.type | Journal Article/Review |