Standardized Video‐Endoscopy and Surgical Field Grading Scale for Endoscopic Sinus Surgery: A Multi‐Centre Study

Athanasiadis, Theodore; Beule, Achim G.; Embate, Jose; Steinmeier, Elke; Field, John; Wormald, Peter John

doi:10.1097/mlg.0b013e318157f764

Cited by 73 publications

(72 citation statements)

References 19 publications

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“…The latter measurement modalities even more accurately reflected the efficacy of hemostatic interventions, in that the direct objective of anesthesia in FESS is to render an optimal surgical field rather than to reduce blood loss. Recently, a multi-center standardized reliability analysis verified the interobserver and intraobserver reliability of the Boezaart scale [16].…”

Section: Discussionmentioning

confidence: 99%

The effect of intravenous tranexamic acid on blood loss and surgical field quality during endoscopic sinus surgery: a placebo-controlled clinical trial

Alimian

Mohseni

2011

Journal of Clinical Anesthesia

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Section: Discussionmentioning

confidence: 99%

The effect of intravenous tranexamic acid on blood loss and surgical field quality during endoscopic sinus surgery: a placebo-controlled clinical trial

Alimian

Mohseni

2011

Journal of Clinical Anesthesia

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“…Als Videoendoskopie [115] ist sie auch der digitalen Aufzeichnung zug ä nglich, und erm ö glicht die Auswertung durch unabh ä ngige Untersucher [116] .…”

Section: Endoskopie Und Videoendoskopieunclassified

Funktionen und Funktionsstörungen der respiratorischen Schleimhaut der Nase und der Nasennebenhöhlen

Beule¹

2010

Laryngo-Rhino-Otol

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In this review, anatomy and physiology of the respiratory mucosa of nose and paranasal sinuses are summarized under the aspect of its clinical significance. Basics of endonasal cleaning including mucociliary clearance and nasal reflexes, as well as defence mechanisms are explained. Physiological wound healing, aspects of endonasal topical medical therapy and typical diagnostic procedures to evaluate the respiratory functions are presented. Finally, the pathophysiologies of different subtypes of non-allergic rhinitis are outlined together with treatment recommendations.

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“…The 11-point Wormald surgical field grading scale was chosen for this study because it has been shown to have a higher reliability than other grading scales [9] . Full intraoperative video was available and completely reviewed in each case.…”

Section: Methodsmentioning

confidence: 99%

Radiofrequency Coblation Decreases Blood Loss during Endoscopic Sinonasal and Skull Base Tumor Removal

Kostrzewa¹,

Sunde²,

Riley

et al. 2010

ORL

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Background/Aims: Minimizing bleeding during transnasal resections of sinonasal tumors is imperative for optimizing visualization and decreasing complications. The purpose of the present study was to determine whether radiofrequency coblation decreases blood loss during endoscopic tumor removal. Methods: Sinonasal/skull base tumors treated in 2008 with endoscopic techniques were reviewed. The data collected included demographics, histopathology, technique, duration, complications and estimated blood loss (EBL). Full operative videoendoscopy was available in all cases and scored by the authors using the 11-point Wormald surgical field grading scale. Results: Twenty-three patients (average age: 46 years) with sinonasal or skull base tumors treated with transnasal endoscopic techniques were identified. Coblation was used in 10 cases. The sinus/skull base tumors included were esthesioneuroblastoma (n = 6), melanoma (n = 3), squamous cell carcinoma (n = 3), inverted papilloma (n = 3), adenocarcinoma (n = 2), intracranial dermoid cyst (n = 2), adenoid cystic carcinoma (n = 1), craniopharyngioma (n = 1), fibromyxosarcoma (n = 1) and undifferentiated carcinoma (n = 1). The use of the coblation device was associated with a significant decrease in all categories including EBL (350 vs. 1,000 ml; p = 0.0001), EBL per operative time (66 vs. 166 ml/h; p = 0.0001) and Wormald grade (3.3 vs. 6.4; p = 0.0001). Conclusion: Radiofrequency coblation significantly decreased blood loss during endoscopic tumor removal and is a useful tool in the armamentarium of the endoscopic skull base surgeon.

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Standardized Video‐Endoscopy and Surgical Field Grading Scale for Endoscopic Sinus Surgery: A Multi‐Centre Study

Cited by 73 publications

References 19 publications

The effect of intravenous tranexamic acid on blood loss and surgical field quality during endoscopic sinus surgery: a placebo-controlled clinical trial

The effect of intravenous tranexamic acid on blood loss and surgical field quality during endoscopic sinus surgery: a placebo-controlled clinical trial

Funktionen und Funktionsstörungen der respiratorischen Schleimhaut der Nase und der Nasennebenhöhlen

Radiofrequency Coblation Decreases Blood Loss during Endoscopic Sinonasal and Skull Base Tumor Removal

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