The Turkish Journal of Ear Nose and Throat

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Research Article


DOI :10.26650/Tr-ENT.2021.957490   IUP :10.26650/Tr-ENT.2021.957490    Full Text (PDF)

Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery

Levent Aydemir, Cömert Şen, Bayram Şahin, Berkay Çaytemel, Ayhan Kars, Şenol Çomoğlu, Meryem Nesil Keleş Türel

Objective: To investigate computerized tomography (CT) data of patients who needed revision surgery for chronic rhinosinusitis. Material and Methods: 83 patients who underwent revision endoscopic sinus surgery by the senior author due to recurrent and/or persistent chronic rhinosinusitis were included in this study. The following data were obtained from preoperative CT scans and recorded for each side of every patient: recurrent polyposis, incomplete uncinectomy, retained agger nasi cell, lateralization of middle turbinate, recirculation phenomenon, maxillary antrostomy stenosis, incomplete anterior and posterior ethmoidectomy, scarring at the frontal recess, sphenoid ostium stenosis, or novel onset sphenoid disease. Results: Based on our findings, septal deviation caused inadequate posterior ethmoidectomy, while incomplete uncinectomy increased the risk of frontal sinus disease. Conclusions: We suggest that septum deviation may cause insufficient visualization, while incomplete uncinectomy may prevent adequate intervention to the frontal sinus and these subsequently play a role in ESS failure.

Keywords: Revision FESS, sinus C.T scan, Functional endoscopic sinus surgery, rhinosinusitis

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References

  • 1. Kennedy DW. Functional endoscopic sinus surgery. Technique. Arch Otolaryngol 1985;111(10):643-9. google scholar
  • 2. Ramadan HH. Surgical causes of failure in endoscopic sinus surgery. Laryngoscope 1999;109(1):27-9. google scholar
  • 3. Musy PY, Kountakis SE. Anatomic findings in patients undergoing revision endoscopic sinus surgery. Am J Otolaryngol 2004;25(6):418-22. google scholar
  • 4. Chandra RK, Palmer JN, Tangsujarittham T, Kennedy DW. Factors associated with failure of frontal sinusotomy in the early follow-up period. Otolaryngol neck Surg OffJ Am Acad Otolaryngol Neck Surg 2004;131(4):514-8. google scholar
  • 5. Levine CG, Casiano RR. Revision Functional Endoscopic Sinus Surgery. Otolaryngol Clin North Am 2017;50(1):143-64. google scholar
  • 6. Stammberger H. Endoscopic endonasal surgery--concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngol neck Surg Off J Am Acad Otolaryngol Neck Surg 1986;94(2):147-56. google scholar
  • 7. Stammberger H. Endoscopic endonasal surgery--concepts in treatment of recurring rhinosinusitis. Part I. Anatomic and pathophysiologic considerations. Otolaryngol neck Surg OffJ Am Acad Otolaryngol Neck Surg 1986;94(2):143-7. google scholar
  • 8. Kennedy DW. Prognostic factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope 1992;102(12 Pt 2 Suppl 57):1-18. google scholar
  • 9. Lazar RH, Younis RT, Long TE, Gross CW. Revision functional endonasal sinus surgery. Ear Nose Throat J 1992;71(3):131-3. google scholar
  • 10. Khalil HS, Eweiss AZ, Clifton N. Radiological findings in patients undergoing revision endoscopic sinus surgery: a retrospective case series study. BMC Ear Nose Throat Disord 2011;11:4. google scholar
  • 11. Socher JA, Mello J, Baltha BB. Tomographical Findings in Adult Patients Undergoing Endoscopic Sinus Surgery Revision. Int Arch Otorhinolaryngol 2018;22(1):73-80. google scholar
  • 12. Tajudeen BA, Adappa ND. Instrumentation in Frontal Sinus Surgery. Otolaryngol Clin North Am 2016;49(4):945-9. google scholar
  • 13. Nayak DR, Balakrishnan R, Murty KD. Endoscopic physiologic approach to allergy-associated chronic rhinosinusitis: a preliminary study. Ear Nose Throat J 2001;80(6):390-2, 395-6, 398 passim. google scholar
  • 14. Nakayama T, Asaka D, Kuboki A, Okushi T, Kojima H. Impact of residual frontal recess cells on frontal sinusitis after endoscopic sinus surgery. Eur Arch oto-rhino-laryngology OffJ Eur Fed Oto-Rhino-Laryngological Soc Affil with Ger Soc Oto-Rhino-Laryngology - Head Neck Surg 2018;275(7):1795-801. google scholar
  • 15. Nayak DR, Balakrishnan R, Murty KD. Functional anatomy of the uncinate process and its role in endoscopic sinus surgery. Indian J Otolaryngol head neck Surg Off Publ Assoc Otolaryngol India 2001;53(1):27-31. google scholar
  • 16. Catalano PJ, Strouch M. The minimally invasive sinus technique: theory and practice. Otolaryngol Clin North Am 2004;37(2):401-9, viii. google scholar

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APA

Aydemir, L., Şen, C., Şahin, B., Çaytemel, B., Kars, A., Çomoğlu, Ş., & Keleş Türel, M.N. (2021). Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery. The Turkish Journal of Ear Nose and Throat, 31(3), 55-59. https://doi.org/10.26650/Tr-ENT.2021.957490


AMA

Aydemir L, Şen C, Şahin B, Çaytemel B, Kars A, Çomoğlu Ş, Keleş Türel M N. Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery. The Turkish Journal of Ear Nose and Throat. 2021;31(3):55-59. https://doi.org/10.26650/Tr-ENT.2021.957490


ABNT

Aydemir, L.; Şen, C.; Şahin, B.; Çaytemel, B.; Kars, A.; Çomoğlu, Ş.; Keleş Türel, M.N. Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery. The Turkish Journal of Ear Nose and Throat, [Publisher Location], v. 31, n. 3, p. 55-59, 2021.


Chicago: Author-Date Style

Aydemir, Levent, and Cömert Şen and Bayram Şahin and Berkay Çaytemel and Ayhan Kars and Şenol Çomoğlu and Meryem Nesil Keleş Türel. 2021. “Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery.” The Turkish Journal of Ear Nose and Throat 31, no. 3: 55-59. https://doi.org/10.26650/Tr-ENT.2021.957490


Chicago: Humanities Style

Aydemir, Levent, and Cömert Şen and Bayram Şahin and Berkay Çaytemel and Ayhan Kars and Şenol Çomoğlu and Meryem Nesil Keleş Türel. “Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery.” The Turkish Journal of Ear Nose and Throat 31, no. 3 (Mar. 2023): 55-59. https://doi.org/10.26650/Tr-ENT.2021.957490


Harvard: Australian Style

Aydemir, L & Şen, C & Şahin, B & Çaytemel, B & Kars, A & Çomoğlu, Ş & Keleş Türel, MN 2021, 'Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery', The Turkish Journal of Ear Nose and Throat, vol. 31, no. 3, pp. 55-59, viewed 29 Mar. 2023, https://doi.org/10.26650/Tr-ENT.2021.957490


Harvard: Author-Date Style

Aydemir, L. and Şen, C. and Şahin, B. and Çaytemel, B. and Kars, A. and Çomoğlu, Ş. and Keleş Türel, M.N. (2021) ‘Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery’, The Turkish Journal of Ear Nose and Throat, 31(3), pp. 55-59. https://doi.org/10.26650/Tr-ENT.2021.957490 (29 Mar. 2023).


MLA

Aydemir, Levent, and Cömert Şen and Bayram Şahin and Berkay Çaytemel and Ayhan Kars and Şenol Çomoğlu and Meryem Nesil Keleş Türel. “Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery.” The Turkish Journal of Ear Nose and Throat, vol. 31, no. 3, 2021, pp. 55-59. [Database Container], https://doi.org/10.26650/Tr-ENT.2021.957490


Vancouver

Aydemir L, Şen C, Şahin B, Çaytemel B, Kars A, Çomoğlu Ş, Keleş Türel MN. Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery. The Turkish Journal of Ear Nose and Throat [Internet]. 29 Mar. 2023 [cited 29 Mar. 2023];31(3):55-59. Available from: https://doi.org/10.26650/Tr-ENT.2021.957490 doi: 10.26650/Tr-ENT.2021.957490


ISNAD

Aydemir, Levent - Şen, Cömert - Şahin, Bayram - Çaytemel, Berkay - Kars, Ayhan - Çomoğlu, Şenol - Keleş Türel, MeryemNesil. “Evaluation of Computed Tomography Findings in Revision Endoscopic Sinus Surgery”. The Turkish Journal of Ear Nose and Throat 31/3 (Mar. 2023): 55-59. https://doi.org/10.26650/Tr-ENT.2021.957490



TIMELINE


Submitted30.06.2021
Accepted01.09.2021
Published Online23.09.2021

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