Endoscopic sinus surgery in previously irradiated patients.

作者: Francisco J. Civantos , Ady Yoskovitch , Roy R. Casiano

DOI: 10.1053/AJOT.2001.22564

关键词: DebridementEthmoidectomyDehiscenceSinus InfectionsMedicineEndoscopic sinus surgeryDacryocystorhinostomySurgeryParanasal sinusesSinusitis

摘要: Abstract Purpose: Our purpose was to evaluate the safety and efficacy of endoscopic sinus surgery in irradiated patients with absolute indications for surgery. Patients Methods: During 5 years at a tertiary referral center, more than 200 received irradiation field that included paranasal sinuses. Complaints related sinuses are common such often include crusting increased mucus drainage. Six presented significant infections absence tumor recurrence failed medical management. Additional problems epiphora nasal obstruction caused by cicatricial choanal stricture. Surgical interventions ethmoidectomy, multiple osteotomies, debridement scarred or devitalized tissue, dacryocystorhinostomy. Outcome measures intraoperative findings complications, length hospital stays, assessments healing over 6 months post-operatively, improvement persistence symptoms 2 3 follow-up. Results: Surgery can be technically difficult because derangements normal anatomy dehiscence important structures. Although bleeding problems, prolonged admission, delayed were noted certain cases, they did not result long-term morbidity. Conclusions: Endoscopic has become an invaluable tool treatment refractory sinusitis. literature review revealed no information, however, regarding previously patients. Theoretically, risk anatomic derangements, which could lead complications. There is, nevertheless, theoretical benefit avoiding external approaches who might heal poorly. (Am J Otolaryngol 2001;22:100-106. Copyright © 2001 W.B. Saunders Company)

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