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OBJECTIVES/HYPOTHESIS To determine the necessity of nasal packing or hemostatic agents or both following endoscopic sinus surgery. STUDY DESIGN Retrospective review of cases in a tertiary care sinus practice at an academic medical center. METHODS Records of 165 patients undergoing 169 endoscopic sinus surgeries were reviewed to determine the presence of(More)
OBJECTIVES/HYPOTHESIS Rhinosinusitis might have many etiologies that lead to a common presentation of inflammation and impaired mucociliary clearance. Anatomic factors were once thought to play a large role in the pathogenesis of rhinosinusitis, and septal deviation was examined in multiple studies with conflicting results. With the more recent appreciation(More)
BACKGROUND Endoscopic sinus surgery (ESS) is one of the most commonly performed procedures in otolaryngology. Major complications are estimated to occur in 1-3% of cases, based on early studies with relatively small patient cohorts in academic institutions. The aim of this study was to update data regarding major complication rates associated with ESS by(More)
OBJECTIVE Anterior cranial base tumors are surgically resected with combined craniofacial approaches that frequently involve disfiguring facial incisions and facial osteotomies. The authors outline three operative zones of the anterior cranial base and paranasal sinuses in which tumors can be resected with three standard surgical approaches that minimize(More)
Chronic rhinosinusitis (CRS) is characterized by mucosal inflammation affecting both the nasal cavity and paranasal sinuses; its causes are potentially numerous, disparate, and frequently overlapping. The more common conditions that are associated with CRS are perennial allergic and nonallergic rhinitis, nasal polyps, and anatomical mechanical obstruction(More)
The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue featuring the updated "Clinical Practice Guideline: Adult Sinusitis" as a supplement to Otolaryngology-Head and Neck Surgery. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action(More)
BACKGROUND Early postoperative care following endoscopic sinus surgery (ESS) has been suggested to minimize avoidable complications and optimize long-term outcomes. Several postoperative care strategies have been proposed but a formal comprehensive evaluation of the evidence has never been performed. The purpose of this article is to provide an(More)
Adhesion of the middle turbinate to the lateral nasal wall is a common complication of endoscopic sinus surgery. The potential sequela of middle turbinate lateralization is obstruction of the middle meatus and the maxillary, ethmoid, or frontal sinuses, which can result in recurrent sinus disease and often necessitate revision surgery. While various(More)
OBJECTIVE To quantify the cost burden and utilization of health care for chronic rhinosinusitis (CRS). STUDY DESIGN Historical cohort study. SETTING Academic medical centers. METHODS Medical claims data from 2003 to 2008 were analyzed. Patients were defined as having chronic sinus disease if they had a minimum of 2 CRS-related diagnoses with either(More)
In 1997, the Task Force on Rhinosinusitis produced a working definition for adult chronic rhinosinusitis. The diagnostic criteria grew out of expert consensus opinion and were "intended to serve as a unifying starting point for further research." The validity of these criteria has not been tested yet. This article summarizes our experience with these(More)