Richard R. Orlandi

Learn More
OBJECTIVE This update of a 2007 guideline from the American Academy of Otolaryngology--Head and Neck Surgery Foundation provides evidence-based recommendations to manage adult rhinosinusitis, defined as symptomatic inflammation of the paranasal sinuses and nasal cavity. Changes from the prior guideline include a consumer added to the update group, evidence(More)
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)
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)
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)
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)
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 This study was performed to determine the location of the natural ostium of the sphenoid sinus relative to the intact superior turbinate. METHODS Forty-seven cadaveric specimens were examined. Mucosa over the sphenoethmoidal recess, superior turbinate, and posterior ethmoid was left intact. The position of the sphenoid sinus natural ostium(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)
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)
Image-guided surgery has been established as an important adjunctive tool for rhinologic surgery. The technology has evolved since the middle of the last century and continues to do so at a rapidly increasing rate. A number of systems exist, each with its relative benefits and drawbacks. Image guidance can assist the endoscopic sinus surgeon by confirming(More)