Efficacy of functional endoscopic sinus surgery for symptoms in chronic rhinosinusitis with or without polyposis

Bunzen, Débora Lopes; Campos, Alexandre; Leão, Fernando Souza; Morais, Alberto; Sperandio, Fabiana; Neto, Silvio Caldas

doi:10.1016/s1808-8694(15)30062-8

Cited by 30 publications

(25 citation statements)

References 10 publications

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“…The problem will be treated by medications containing vasoconstrictors associated or not with H 1 antihistaminic, rinsing of the sinuses or even surgical removal of the inflamed mucosa and polyps. 102 …”

Section: Therapymentioning

confidence: 99%

Halitosis: the multidisciplinary approach

2012

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Halitosis, bad breath or oral malodour are all synonyms for the same pathology. Halitosis has a large social and economic impact. For the majority of patients suffering from bad breath, it causes embarrassment and affects their social communication and life. Moreover, halitosis can be indicative of underlying diseases. Only a limited number of scientific publications were presented in this field until 1995. Ever since, a large amount of research is published, often with lack of evidence. In general, intraoral conditions, like insufficient dental hygiene, periodontitis or tongue coating are considered to be the most important cause (85%) for halitosis. Therefore, dentists and periodontologists are the first-line professionals to be confronted with this problem. They should be well aware of the origin, the detection and especially of the treatment of this pathology. In addition, ear–nose–throat-associated (10%) or gastrointestinal/endocrinological (5%) disorders may contribute to the problem. In the case of halitophobia, psychiatrical or psychological problems may be present. Bad breath needs a multidisciplinary team approach: dentists, periodontologists, specialists in family medicine, ear–nose–throat surgeons, internal medicine and psychiatry need to be updated in this field, which still is surrounded by a large taboo. Multidisciplinary bad breath clinics offer the best environment to examine and treat this pathology that affects around 25% of the whole population. This article describes the origin, detection and treatment of halitosis, regarded from the different etiological origins.

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Section: Therapymentioning

confidence: 99%

Halitosis: the multidisciplinary approach

2012

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“…[6][7][8][9]14 First line of treatment in CRS appears to be the prescription of antibiotic medication and, sometimes, antiinflammatory medication with endoscopic surgery reserved for patients nonresponsive to drug management. 6 Recent studies have evaluated the effectiveness of antibiotics, 61,62 endoscopy, 63 or surgery 64 interventions in the management of CRS. It is interesting to note that the outcomes observed in our case series compare quite favorably with those more invasive approaches.…”

Section: Discussionmentioning

confidence: 99%

“…It is interesting to note that the outcomes observed in our case series compare quite favorably with those more invasive approaches. 61-64 Antibiotic treatment has variable success depending on the medication used, 61,62 and Bunzen et al 63 were only able to achieve an improvement in craniofacial pain after endoscopy in 54.5% of patients with CRS without polyps. Outcomes for the current case series, which involved patients with craniofacial pain without polyps, demonstrated improvement in 100% of patients, with an improvement of 85.46% from baseline levels reported between the first treatment session and the week after the last session.…”

Section: Discussionmentioning

confidence: 99%

Effects of Manual Therapy on Craniofacial Pain in Patients With Chronic Rhinosinusitis: A Case Series

Méndez-Sánchez¹,

González-Iglesias²,

Puente-González³

et al. 2012

Journal of Manipulative and Physiological Therapeutics

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“…The effect of ESS on improving olfactory dysfunction has remained controversial due to lack of comprehensive evidence. Range of improvement has been reported from 25% to100% according to some prior studies; while others have reported no improvement or even reduced olfactory function following ESS [7][8][9][10] .…”

Section: Introductionmentioning

confidence: 94%

Effect of ESS on Olfactory Threshold of Patients with CRS without Nasal Polyps

Yousefi¹,

Madarshahi²,

Akhavan³

et al. 2018

The International Tinnitus Journal

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Objectives: Chronic rhinosinusitis (CRS) is characterized by a long-time inflammatory disease of nasal and sinus mucosa. Olfactory dysfunction is common among CRS patients with a prevalence ranging from 48% to 83%. We aimed to assess the effect of ESS on olfactory function of patients with chronic rhinosinusitis without nasal polyps.Method: This randomized clinical trial was conducted on 30 patients with chronic rhinosinusitis without nasal polyps. Patients were randomly allocated to two intervention and control groups; patients in intervention group underwent endoscopic sinus surgery by a single surgeon and control group continued standard treatment with nasal irrigation of normal saline (4 times daily) and nasal corticosteroids (one puff in each nostril daily). Olfactory threshold was evaluated using smell threshold test (STT) before, one month and three months after intervention. Results:Eventually 33 patients with a mean age of 42.70 ± 15.50 years in intervention and 43.12 ± 11.50 years in control group underwent analysis (p value=0.930). Mean olfactory threshold was 2.79 ± 0.73 in intervention and 2.67 ± 1.05 in control group prior to intervention (p value=0.345). Mean change of olfactory threshold was 0.30 ± 0.79 in intervention and 0.38±1.09 in control group one month after intervention (p value=0.214). Mean change of olfactory threshold was 0.13 ± 0.94 in ESS and 0.33 ± 0.60 in control group three months after intervention (p value=0.196). Conclusion:Our study revealed that changes in olfactory threshold were not significantly different between two ESS and standard medical therapy groups one and three months after intervention.

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Efficacy of functional endoscopic sinus surgery for symptoms in chronic rhinosinusitis with or without polyposis

Cited by 30 publications

References 10 publications

Halitosis: the multidisciplinary approach

Halitosis: the multidisciplinary approach

Effects of Manual Therapy on Craniofacial Pain in Patients With Chronic Rhinosinusitis: A Case Series

Effect of ESS on Olfactory Threshold of Patients with CRS without Nasal Polyps

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