Preoperative treatment with topical corticoids and bleeding during primary endoscopic sinus surgery

Albu, Silviu; Gocea, Anamaria; Mitre, Ileana

doi:10.1016/j.otohns.2010.06.921

Cited by 64 publications

(74 citation statements)

References 21 publications

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“…As early as in 1992 Kennedy listed the severity of the disease as a major factor influencing the course of endoscopic sinus surgery and, consequently, the results of treatment [13]. These observations were confirmed by the present studies [10,[18][19][20][21].…”

Section: Discussionsupporting

confidence: 86%

“…The analysis showed that together with the increase in the scale of disease severity, the degree of intraoperative bleeding increases, according to the scale proposed by Fromm and Boezaart [18]. In another study, Albu et al demonstrated that chronic rhinosinusitis with nasal polyps substantially increased blood loss during the surgical procedure, decreased the quality of the operating field and extended the duration of surgery in comparison with patients without nasal polyps [20].…”

Section: Discussionmentioning

confidence: 87%

“…The study was performed separately for patients with chronic rhinosinusitis with and without nasal polyps. The results showed decreased blood loss during surgery, improvement in the quality of the surgical field and the reduced surgery time in the groups treated with intranasal glucocorticoids both in patients with and without nasal polyps [20].…”

Section: Discussionmentioning

confidence: 90%

See 2 more Smart Citations

The Influence of Selected Preoperative Factors on the Course of Endoscopic Surgery in Patients with Chronic Rhinosinusitis

Grzegorzek¹,

Kolebacz²,

Stryjewska-Makuch³

et al. 2014

Adv Clin Exp Med

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Background. Epidemiological data shows the increasing prevalence of chronic rhinosinusitis which poses significant health, social and economic problems in today's world. Endoscopic paranasal sinus surgery is currently the method of choice in the treatment of chronic rhinosinusitis when conservative treatment methods fail. Therefore, maintaining a high percentage of therapeutic success with a constantly growing number of surgical procedures poses the major challenge to otolaryngologists. Appropriate surgical conditions have a great influence on the course of surgical procedure, the risk of complications and postoperative outcomes. Objectives. The aim of this study was to analyse the influence of selected perioperative factors on the course of endoscopic surgery in patients with chronic rhinosinusitis. Material and Methods. A group of 212 patients (105 women and 107 men) aged 19 to 74 (mean age 46.5) diagnosed with chronic rhinosinusitis were enrolled in the retrospective study. All patients underwent endoscopic sinus surgery. The analysis was concerned with the impact of such factors and clinical parameters as gender and age of patients, disease progression, previous (conservative and surgical) treatment, comorbidities, detrimental external factors, the scope of surgical treatment influencing the duration of surgery, bleeding in the surgical field and the total blood loss during surgery. Conclusions. It was found that the mean duration of surgery in the study group was 40.2 min, the mean blood loss was 312.17 mL and the mean degree of intraoperative bleeding scale reached 2.15. The intraoperative conditions deteriorate together with the increasing age of patients. Selected factors and clinical parameters, such as impaired nasal patency, olfactory disorders, the occurrence of nasal polyps, prior surgical treatment, the presence of aspirin-induced asthma and cardiovascular diseases, intranasal glucocorticoid therapy, a high degree of inflammatory changes in the sinuses and a large extent of surgery substantially influence the deterioration in intraoperative conditions. Knowledge of these factors and their impact on surgery enables more thorough, multidisciplinary preparation of patients for surgery, and thus enables the optimisation of surgical conditions (Adv Clin Exp Med 2014, 23, 1, 69-78).

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

The Influence of Selected Preoperative Factors on the Course of Endoscopic Surgery in Patients with Chronic Rhinosinusitis

Grzegorzek¹,

Kolebacz²,

Stryjewska-Makuch³

et al. 2014

Adv Clin Exp Med

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“…1149 Impaired visibility due to a bloody field can impair surgical dissection, prolong the length of the procedure and increase the rate of complications. 1149,1150 Accordingly, it could be said that the substantive objective of preoperative management is to create a unobscured endoscopic view during ESS.…”

Section: XC Surgery For Crswnp and Crssnpmentioning

confidence: 99%

“…Several studies have included both CRSsNP and CRSwNP patients. Albu et al 1150 reported a double-blinded randomized, placebo control trial of 70 patients, of which 37 were CRSsNP and 33 were CRSwNP. The treatment group received a 4-week course of intranasal mometasone furoate 200 μg twice daily.…”

Section: Xc1 Crssnp: Preoperative Corticosteroidsmentioning

confidence: 99%

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Orlandi

Kingdom

Hwang

et al. 2016

Int Forum Allergy Rhinol

557

888

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Background:The body of knowledge regarding rhinosinusitis (RS) continues to expand, with rapid growth in number of publications, yet substantial variability in the quality of those presentations. In an effort to both consolidate and critically appraise this information, rhinologic experts from around the world have produced the International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR:RS). Methods:Evidence-based reviews with recommendations (EBRRs) were developed for scores of topics, using previously reported methodology. Where existing evidence was insufficient for an EBRR, an evidence-based review (EBR) was produced. The sections were then synthesized and the entire manuscript was then reviewed by all authors for consensus. Results:The resulting ICAR:RS document addresses multiple topics in RS, including acute RS (ARS), chronic RS (CRS) with and without nasal polyps (CRSwNP and CRSsNP), recurrent acute RS (RARS), acute exacerbation of CRS (AE-CRS), and pediatric RS. Conclusion:As a critical review of the RS literature, ICAR:RS provides a thorough review of pathophysiology and evidence-based recommendations for medical and surgical treatment. It also demonstrates the significant gaps in our understanding of the pathophysiology and optimal management of RS. Too o en the foundation upon which these recommendations are based is comprised of lowerlevel evidence. It is our hope that this summary of the evidence in RS will point out where additional research efforts may be directed. C 2016 ARS-AAOA, LLC. Key Words:rhinosinusitis; chronic rhinosinusitis; acute rhinosinusitis; recurrent acute rhinosinusitis; evidence-based medicine; systematic review; endoscopic sinus surgery List of Abbreviations Used

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Topical steroids for nasal polyps

Kalish¹,

Snidvongs

Sivasubramaniam

et al. 2012

Cochrane Database of Systematic Reviews

100

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Preoperative treatment with topical corticoids and bleeding during primary endoscopic sinus surgery

Abstract: The use of topical corticoid (MF) in the preoperative period can improve endoscopic vision, reduce bleeding, and decrease operation time in CRS patients with and without polyps undergoing ESS, but our sample size cannot exclude small, and possibly trivial, group differences.

Cited by 64 publications

References 21 publications

The Influence of Selected Preoperative Factors on the Course of Endoscopic Surgery in Patients with Chronic Rhinosinusitis

The Influence of Selected Preoperative Factors on the Course of Endoscopic Surgery in Patients with Chronic Rhinosinusitis

International Consensus Statement on Allergy and Rhinology: Rhinosinusitis

Topical steroids for nasal polyps

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