The outcome of endoscopic sinus surgery: correlation with computerized tomography score and systemic disease

Sharp, Henry; Rowe-Jones, Julian; Mackay, I. S.

doi:10.1046/j.1365-2273.1999.00199.x

Cited by 40 publications

(36 citation statements)

References 13 publications

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“…The Lund-Mackay staging system, 18 summarized in the first Rhinosinusitis Initiative document, 1 represents the most widely established method of sinus CT scoring in clinical trials. 41,42 It scores each sinus area as 0, 1, or 2 depending on the extent of mucosal opacification present and also includes a score for patency of the ostiomeatal unit. Anatomic variants, such as absent frontal sinus, concha bullosa deformity, paradoxical middle turbinate, everted uncinate process, Haller cells, and Agger nasi cells are also scored with this instrument but would not contribute to scoring of a nonsurgical therapeutic intervention.…”

Section: Sinus Ct Scoring Systems For Rhinosinusitismentioning

confidence: 99%

Rhinosinusitis: Developing guidance for clinical trials

Meltzer

Hamilos

Hadley

et al. 2006

Journal of Allergy and Clinical Immunology

283

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Section: Sinus Ct Scoring Systems For Rhinosinusitismentioning

confidence: 99%

Rhinosinusitis: Developing guidance for clinical trials

Meltzer

Hamilos

Hadley

et al. 2006

Journal of Allergy and Clinical Immunology

283

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“…However, it is controversial if findings on the CT scan correlate with the reported severity of symptoms (nasal, facial, oropharyngeal) at the time of presentation or with the degree of symptom improvement after endoscopic sinus surgery [7][8][9][10] .…”

mentioning

confidence: 99%

Olfactory Dysfunction in Nasal Polyposis: Correlation with Computed Tomography Findings

Konstantinidis¹,

Triaridis²,

Printza³

et al. 2007

ORL

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Aims: This study evaluates if a computed tomography (CT) scan is useful to assess the olfactory loss in sinonasal disease, and if a preoperative CT scan has a predictive value for the long-term outcome regarding olfaction. Methods: Thirty-one patients with nasal polyposis were included. Olfactory function was assessed with the ‘Sniffin’ Sticks’ test and subjective perception recorded with a visual analogue scale. CT scans were assessed with the Lund-Mackay system and the Damm nasal segmentation. Patients were retested after endoscopic sinus surgery in a follow-up appointment at least 1 year later. Results: Disease in the upper meatus and the posterior portion of the middle meatus strongly affects olfactory function. Lund-Mackay scores were significantly correlated with preoperative olfactory test results. Preoperative subjective ratings had a significant correlation only with present disease in the anterior upper meatus. Postoperative results were significantly decreased. Their relative percentage change was correlated only with the preoperative presence of disease in the anterior upper meatus. No correlation was found between the Lund-Mackay score and the postoperative olfactory results. Conclusions: Olfactory dysfunction in nasal polyposis is strongly related to specific obstructed nasal areas. A CT scan has no predictive value for the long-term surgical outcome regarding olfaction.

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“…Lieu and Piccirillo [5•] identified 35 articles pertaining to the use of sinus surgery for CRS, with patient improvement associated with FESS ranging from 68.9% for good outcome [6] to 94% with at least 50% improvement [7]. Again, this group identified the lack of a control group as the most important reason that studies are unable to scientifically assess the comparative efficacy of FESS to medical therapy or other sinus procedures.…”

Section: Introductionmentioning

confidence: 96%

Surgical management of chronic rhinosinusitis and nasal polyposis: a review of the evidence

Chiu

Kennedy

2004

Curr Allergy Asthma Rep

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Functional endoscopic sinus surgery is a common adjunct to medical therapy in the management of chronic rhinosinusitis and nasal polyposis. As with most surgical procedures, there is a paucity of randomized, controlled clinical trials examining the use of functional endoscopic sinus surgery in the management of chronic rhinosinusitis and nasal polyposis. This is primarily a result of the physical and ethical conundrums faced in performing a study that involves comparing a surgical procedure with a placebo. However, there is documentation of the marked impact that chronic rhinosinusitis can have on the overall quality of life and evidence that this improves following combined surgical and medical intervention. There are many case series with large patient populations that have shown significant improvement in short- and long-term patient symptoms following surgery. These outcomes are expected to improve with even greater refinement of technology, experience, and instrumentation, and the quality of future studies may be improved by determining and using objective measures of success and, possibly, by the use of control groups.

show abstract

The outcome of endoscopic sinus surgery: correlation with computerized tomography score and systemic disease

Cited by 40 publications

References 13 publications

Rhinosinusitis: Developing guidance for clinical trials

Rhinosinusitis: Developing guidance for clinical trials

Olfactory Dysfunction in Nasal Polyposis: Correlation with Computed Tomography Findings

Surgical management of chronic rhinosinusitis and nasal polyposis: a review of the evidence

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