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Functional endoscopic sinus surgery in the management of chronic rhinosinusitis. An objective assessment

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund ,
Mats Holmstrom  and
Glenis K. Scadding
Valerie J. Lund*
Affiliation:
Senior Lecturer in Rhinology, Institute of Laryngology and Otology, London.
Mats Holmstrom
Affiliation:
Clinical Research Fellow, Institute of Laryngology and Otology, and Department of Oto-Rhino-Laryngology, Karolinska Institute, Huddinge University, Sweden.
Glenis K. Scadding
Affiliation:
Consultant Medical Rhinologist, Royal National Throat Nose and Ear Hospital, London.
*
Miss Valerie Lund, The Institute of Laryngology and Otology, 330–332 Gray's Inn Road, London WC1X 8EE.
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Abstract

Considerable clinical success has been claimed for functional endoscopic sinus surgery but objective assessment of prospective series is lacking in the literature. Twenty-four patients with chronic rhino-sinusitis underwent assessment of symptoms by visual analogue scoring, nasomucociliary function by ciliary beat frequency, olfaction by qualitative olfactometry and nasal airway resistance by anterior rhinomanometry pre- and post-operatively. This demonstrated a significant improvement in all symptoms examined and in ciliary beat frequency. Quantitative olfaction and anterior rhinomanometry were not improved despite diminished symptoms. These results offer quantitative evidence of clinical improvement following functional endoscopic sinus surgery which supports the pathophysiological concepts on which the technique is based.

Keywords

SinusitisParanasal sinus surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 10 , October 1991 , pp. 832 - 835
Copyright
Copyright © JLO (1984) Limited 1991

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References

Bisgaard, H., Pedersen, M. (1987) SRS-A leukotrienes decrease the activity of human respiratory cilia. Clinical Allergy 17: 95–103.CrossRefGoogle ScholarPubMed
CaIdwell, G. W. (1893) Diseases of the accessory sinuses of the nose and an improved method of treatment of suppuration of the maxillary antrUm. New York Medical Journal 58: 526–528.Google Scholar
Cole, P. J., Wilson, R. (1989) Host-microbial inter-relationships in respiratory infection. Chest 95: 2175–2215.CrossRefGoogle Scholar
Greenstone, M., Logan-Sinclair, R., Cole, P. J. (1984) An automated method of recording ciliary beat frequency. JRCS Medical Science 12: 715–716.Google Scholar
Haight, J. S. J., Cole, P. (1983) The site and function of the nasal valve. Laryngoscope 93: 49–55.Google Scholar
Hilberg, O., Jackson, A. C., Swift, D. L. (1989) Acoustic rhinometry: Evaluation of nasal cavity geometry by acoustic defleclions. Journal of Applied Physiology 66: 295–303.CrossRefGoogle Scholar
Holmstrom, M.. Scadding, G. K.. Lund, V. J. Nasal ciliary heat frequency following nasal allergen challenge. American Journal of Rhinology. In press.Google Scholar
Jones, A. S., Lancer, J. M., Stevens, J. C., Bcckingham, E. (1987) Nasal resistance to airflow: Its measurement, normal parameters and reproducibility. Journal of Laryngology and Otologv 101: 800–808.CrossRefGoogle Scholar
Jones, A. S., Willat, D. J., Durham, L. M. (1989) Nasal airflow: Resistance and sensation. Journal of Laryngologv and Otology 103: 909–911.CrossRefGoogle ScholarPubMed
Kennedy, D. W., Zinreich, J., Rosenbaum, A. E., Johns, M. E. (1985) Functional endoscopic sinus surgery. Theory and diagnostic evaluation. Archiies of Otolaryngology 111: 576–582.CrossRefGoogle ScholarPubMed
Levine, H. L. (1990) Functional endoscopic sinus surgery: Evaluation, surgery and follow-up of 250 patIents. Laryngoscope 100: 79–84.CrossRefGoogle ScholarPubMed
Lund, V. J. (1988) Inferior meatal antrostomy: Fundamental considerations of design and function. Journal of Otology and Laryngology, Supplement No. 15. pp. 1–18.CrossRefGoogle ScholarPubMed
Lund, V. J. (1990) Surgery of the ethmoids–past, present and future. Journal of the Royal Society of Medicine 83: 451–455.CrossRefGoogle ScholarPubMed
Messerklinger, W. (1978) Endoscopy of the nose. Urban and Schwarzenberg: Munich, Baltimore.Google Scholar
Rutland, J.. Cole, P. J. (1980) Non-invasive sampling of nasal cilia for measurement of beat frequency and study of ultrastructure. Lancet 2: 564–565.Google Scholar
Smallman, L. A., Hill, S. L., Stockley, R. A. (1984) Reduction of ciliary beat frequencies in vitro by sputum from patients with bronchiectasis: A serine proteinase effect. Thorax 39: 663–667.CrossRefGoogle ScholarPubMed
Stammberger, H. (1985) Unsere endoskopische Untersuchungstechnik der laterlen Nasenwand–Ein endoskopisch-chirurgisches Konzept zur Behandlung entzundlicher NNH. Erkrankungen. Laryngologie, Rhinologie, Otologie, 64: 559–566.CrossRefGoogle Scholar
Stammberger, H. (1986 a) Endoscopic endonasal surgery—concepts in treatment of recurring rhinosinusitis. Otolaryngology Head and Neck Surgery, 94: 143–156.CrossRefGoogle ScholarPubMed
Stammberger, H. (1986 b) Nasal and paranasal sinus endoscopy. A diagnostic and surgical approach to recurrent sinusitis. Endoscopy, 18: 211–256.CrossRefGoogle ScholarPubMed
Stammberger, H., Posawetz, W. (1990) Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. European Archives of Oto-Rhino-Laryngology, 247: 63–76.CrossRefGoogle ScholarPubMed
Stankiewicz, J. A. (1989) Complications in endoscopic intranasal ethmoidectomy: An update. Laryngoscope, 99: 686–690.CrossRefGoogle ScholarPubMed
Wilson, R., Roberts, D., Cole, P. J. (1985) Effect of bacterial products on human ciliary function in vitro. Thorax, 40: 125–131.CrossRefGoogle ScholarPubMed
Wilson, R., Sykes, D. A., Currie, D., Cole, P. J. (1986) beat frequency of cilia from sites of purulent infection. Thorax, 41: 453–158.CrossRefGoogle ScholarPubMed
Wilson, R., Cole, P. J. (1988) The effect of bacterial products on ciliary function. American Revue of Respiratory Disease, 138: 549–553.Google Scholar
Yamagishi, M., Hasegawa, S., Suzuki, S., Nakamura, H., Nakano, Y. (1989) Effect of surgical treatment of olfactory disturbance caused by localized ethmoiditis. Clinical Otolaryngology, 14: 405–109.CrossRefGoogle ScholarPubMed