The Physiologic Treatment of Nasal Obstruction

Baker, Daniel C.; Strauss, Raymond B.

doi:10.1016/s0094-1298(20)30152-8

Cited by 20 publications

(5 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Triamcinolone acetonide has the advantage of being a suspension of small particles with local effects that last for several weeks. [17][18][19][20] Topical vasoconstrictor was applied before triamcinolone acetonide injection, and we used a narrow-gauge needle to avoid complications in our study. No visual complications occurred in our patients treated with 0.3 mL triamcinolone acetonide injected into the polyp tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Guidelines included the choice of a steroid with a small particle size such as triamcinolone acetonide, use of a narrow‐gauge needle, and use of a topical vasoconstrictor to reduce nasal vascular congestion before injection. Triamcinolone acetonide has the advantage of being a suspension of small particles with local effects that last for several weeks 17–20 . Topical vasoconstrictor was applied before triamcinolone acetonide injection, and we used a narrow‐gauge needle to avoid complications in our study.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Effects of Systemic, Topical, and Intralesional Steroid Treatments on Apoptosis Level of Nasal Polyps

Kapucu

Cekin

Erkul

et al. 2012

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Effects of Systemic, Topical, and Intralesional Steroid Treatments on Apoptosis Level of Nasal Polyps

Kapucu

Cekin

Erkul

et al. 2012

Otolaryngol.--head neck surg.

View full text Add to dashboard Cite

show abstract

“…No procedure is without complications. Although there are at least 10 case reports of visual loss after intraturbinate steroid injection reported in the literature,17 many more reports, with data from over 100,000 injections, cite no visual complications 18–21. From the reports available, one can estimate the risk of visual complications to be approximately 1:10,000.…”

Section: Discussionmentioning

confidence: 99%

Angiosarcoma after breast-conserving therapy: Fine-needle aspiration biopsy, immunocytochemistry, and clinicopathologic correlates

Gherardi

Rossi

Perrone

et al. 2005

Cancer

View full text Add to dashboard Cite

Background: Over 45 million Americans suffer from recurrent headaches, and an estimated $11.9 million was spent on doctor's visits for rhinogenic pain last year. Sphenopalatine blocks have been described for various facial pain syndromes, but their use and the type of blockade agents remain controversial. The objective of this study was to demonstrate that endoscopic nerve blocks, using a mixture of bupivicaine and triamcinolone‐40, injected into the anterior ethmoid or sphenopalatine regions, can be a relative safe and effective option for refractory pain. Methods: The charts of all patients undergoing endoscopic neural blockade, in a private practice setting from 1998 to 2008 were retrospectively reviewed. A 1:1 mixture of 0.5% bupivicaine and triamcinolone acetonide injectable suspension was injected into the patients' anterior ethmoid or sphenopalatine neural distribution, or both, depending on the pain distribution. Charts were reviewed to assess outcomes and any adverse events from nerve blocks. Results: A total of 882 nerve blocks were administered to 147 patients, over the course of 431 office visits. Four mild complications, 2 moderate complications, and no severe or permanent complications were noted. No permanent visual complications were observed. Of all the charts, 85% had documented effects of the nerve block at follow‐up. Of those, 81.3% claimed improvement, 17.9% reported feeling the same, and 0.79% stated they had worse pain. Conclusion: Endoscopic neural blockade appears to be a relatively safe and viable option in the treatment of refractory headache and facial pain with a rhinogenic component. © 2012 ARS‐AAOA, LLC.

show abstract

“…1 Septal surgery also often forms part of a routine rhinoplasty. 2 Perhaps the least controversial indication for such surgery is to correct deformity in patients suffering from nasal obstruction, but it has been suggested that the evidence base for this procedure in such patients is lacking. 3 In spite of this, it is clear that routine septal surgery for nasal obstruction is generally regarded as being successful, and the number of cases on routine operating lists attests to the widely held belief that such procedures are beneficial.…”

Section: Introductionmentioning

confidence: 99%

Is there objective evidence that septal surgery improves nasal airflow?

et al. 2006

View full text Add to dashboard Cite

Objective: To identify any prospective, controlled trials providing objective evidence of a reduction in nasal airway resistance following nasal septal surgery, and to undertake a meta-analysis of available data.Methods: A systematic review with meta-analysis of data was undertaken. A systematic review of the literature using a defined search strategy was conducted to identify papers that used objective methods of airway assessment to evaluate the benefit of septal surgery. Accepted techniques for objective airway assessment included acoustic rhinometry, active anterior rhinomanometry and peak nasal inspiratory airflow. Papers were included based on pre-defined criteria, which included standardization of techniques as outlined in the guidelines of the 1984 committee report on the standardization of rhinomanometry.Results: We identified 942 articles, of which 13 were prospective studies evaluating the objective benefit of nasal septal surgery. Only three of these studies conformed to the inclusion criteria. A meta-analysis on these papers was performed using the Mantel-Haenszel method, and this demonstrated an overall reduction in nasal airway resistance following septal surgery for nasal obstruction ( p ¼ 0.018).Conclusions: The majority of studies evaluating the objective benefit of septal surgery did not conform to the recommendations of the committee report on the standardization of rhinomanometry. Only three prospective controlled trials, with pooled data from 141 cases, were identified for meta-analysis. The conclusions that can be drawn concerning objective improvement in airway function following nasal septal surgery are therefore limited. More long-term studies, adhering to standardized techniques, are needed to provide more convincing data.

show abstract

The Physiologic Treatment of Nasal Obstruction

Cited by 20 publications

References 23 publications

The Effects of Systemic, Topical, and Intralesional Steroid Treatments on Apoptosis Level of Nasal Polyps

The Effects of Systemic, Topical, and Intralesional Steroid Treatments on Apoptosis Level of Nasal Polyps

Angiosarcoma after breast-conserving therapy: Fine-needle aspiration biopsy, immunocytochemistry, and clinicopathologic correlates

Is there objective evidence that septal surgery improves nasal airflow?

Contact Info

Product

Resources

About