The role of computed tomography in revision sinus surgery

Abstract

In this retrospective study, 34 patients with recurrent hyperplastic rhinosinusitis who subsequently underwent further surgical intervention were evaluated with computed tomography scans in order to assess the role of computed tomography in revision sinus surgery. Fourteen of these patients had originally undergone sphenoethmoidectomies, 8 had endoscopic sinus surgeries, 6 had Caldwell-Luc operations, and 6 had intranasal antrostomies. Computed tomography scan was instrumental in correctly identifying the site and reasons for failure and assisted in localizing further surgical intervention to the appropriate sites in 30 patients. The indications for computed tomography and revision surgery are discussed and defined.

Computed Tomographic Staging and the Fate of the Dependent Sinuses in Revision Endoscopic Sinus Surgery

“…Several authors have reported their experience with revision ESS. 4,8 These studies have included cases of revision ESS performed after non-ESS as well as those in which the primary surgery was performed elsewhere. In this series, the primary and revision ESS were performed at the same institution, and all of the primary procedures were endoscopic in nature.…”

Radiological follow-up of inverted papilloma

“…The follow-up includes physical examination and endoscopy [8,16], but imaging is reserved for preoperative evaluation. Computed tomography is used in doubtful cases or to assess extension of a patent recurrence [1,17]. One study describes only the MR patterns of IP recur- (asterisk) whose signal intensity is equal to surrounding and contralateral mucosa hyperplasia.…”