Abstract
Since its introduction endoscopic sinus surgery (ESS) for the treatment of chronic rhinosinusitis (CRS) has been focused on the management of the ethmoids, differentiating between partial and total ethmoidectomy. The classification of the underlying process of ethmoiditis and the selection of the adequate surgical procedure are still open questions. The aim of this investigation was to evaluate a minimally invasive ESS procedure. We present a retrospective analysis of 112 cases of bilateral circumscribed ethmoiditis after partial ethmoidectomy performed by a single surgeon investigated by questionnaires and endoscopic follow-up. A comparison of symptoms and the subjective judgment of the patients before and after surgery showed that postoperative subjective scores of nasal obstruction and rhinorrhea improved in up to 90%, with no distinct differences between primary intervention (n=98) and revision (n=14). Ninety percent of all patients considered surgery successful. Signs of active rhinosinusitis were found in less then 20% of patients after partial ethmoidectomy. This demonstrates that partial ethmoidectomy is an effective treatment for CRS affecting only part of the ethmoid.
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Blanc PD, Trupin L, Earnest G, Katz PP, Yelin EH, Eisner MD (2001) Alternative therapies among adults with a reported diagnosis of asthma or rhinosinusitis: data from a population-based survey. Chest 120:1461–1467
Catalano PJ (2004) Minimally invasive sinus technique: what is it? Should we consider it? Curr Opin Otolaryngol Head Neck Surg 12:34–37
Catalano P, Roffman E (2003) Outcome in patients with chronic sinusitis after the minimally invasive sinus technique. Am J Rhinol 17:17–22
Danielsen A, Olofsson J (1996) Endoscopic endonasal sinus surgery. A long-term follow-up study. Acta Otolaryngol 116:611–619
Dunlop G, Scadding GK, Lund VJ (1999) The effect of endoscopic sinus surgery on asthma: management of patients with chronic rhinosinusitis, nasal polyposis, and asthma. Am J Rhinol 13:261–265
Dursun E, Bayiz U, Korkmaz H, Akmansu H, Uygur K (1998) Follow-up results of 415 patients after endoscopic sinus surgery. Eur Arch Otorhinolaryngol 255:504–510
Garrel R, Gardiner Q, Khudjadze M, Demoly P, Vergnes C, Makeieff M, Guerrier B, Crampette L (2003) Endoscopic surgical treatment of sinonasal polyposis-medium term outcomes (mean follow-up of 5 years). Rhinology 41:91–96
Gliklich RE, Metson R (1996) The chronic sinusitis survey and the chronic sinusitis survey scoring booklet. Outcome Sciences, Boston, MA
Holmstrom M, Holmberg K, Lundblad L, Norlander T, Stierna P (2002) Current perspectives on the treatment of nasal polyposis: a Swedish opinion report. Acta Otolaryngol 122:736–744
Hosemann W (2000) Surgical treatment of nasal polyposis in patients with aspirin intolerance. Thorax 55(Suppl 2):S87–S90
Hosemann W, Wigand ME, Fehle R, Sebastian J, Diepgen DL (1988) Results of endonasal ethmoid bone operations in diffuse hyperplastic chronic paranasal sinusitis. HNO 36:54–59
Hosemann W, Weber RK, Keerl RE, Lund VJ (2000) Minimally invasive endonasal sinus surgery. Thieme Press, New York
Iro H, Mayr S, Wällisch C, Schick B, Wigand ME (2004) Endoscopic sinus surgery: its subjective medium-term outcome in chronic rhinosinusitis. Rhinology 43:200–206
Kennedy DW (1992) Prognostic factors, outcomes and staging in ethmoid sinus surgery. Laryngoscope 102:1–18
Larsen K, Tos M (2002) The estimated incidence of symptomatic nasal polyps. Acta Otolaryngol 122:179–182
Levine HL (1990) Functional endoscopic sinus surgery: evaluation, surgery, and follow-up of 250 patients. Laryngoscope 100:79–84
Matthews BL, Smith LE, Jones R, Miller C, Brookschmidt JK (1991) Endoscopic sinus surgery: outcome in 155 cases. Otolaryngol Head Neck Surg 104:244–246
Mehanna H, Mills J, Kelly B, McGarry GW (2002) Benefit from endoscopic sinus surgery. Clin Otolaryngol 27:464–471
Moriyama H, Ozawa M, Honda Y (1991) Endoscopic endonasal sinus surgery. Approaches and post-operative evaluation. Rhinology 29:93–98
Nguyen LH, Fakhri S, Frenkiel S, Hamid QA (2003) Molecular immunology and immunotherapy for chronic sinusitis. Curr Allergy Asthma Rep 3:505–512
Schaitkin B, May M, Shapiro A, Fucci M, Mester SJ (1993) Endoscopic sinus surgery: 4-year follow-up on the first 100 patients. Laryngoscope 103:1117–1120
Setliff RC 3rd (1996) Minimally invasive sinus surgery: the rationale and the technique. Otolaryngol Clin North Am 29:115–124
Stammberger H (1986) Endoscopic endonasal surgery—concepts in treatment of recurring rhinosinusitis. Part I. Anatomic and pathophysiologic considerations. Otolaryngol Head Neck Surg 94:143–147
Stammberger H (1986) Endoscopic endonasal surgery—concepts in treatment of recurring rhinosinusitis. Part II. Surgical technique. Otolaryngol Head Neck Surg 94:147–156
Stammberger H, Posawetz W (1990) Functional endoscopic sinus surgery. Concept, indications and results of the Messerklinger technique. Eur Arch Otorhinolaryngol 247:63–76
Stevens HE, Blair NJ (1988) Intranasal sphenoethmoidectomy: 10-year experience and literature review. J Otolaryngol 17:254–259
Wigand ME (1978) New trends of endoscopy in oto-rhino-laryngology. Endoscopy 10:239–240
Wigand ME (1981) Transnasal, endoscopical surgery for chronic sinusitis. III. Endonasal operation of the maxillary antrum (author’s transl). HNO 29:263–269
Wigand ME (1981) Transnasal, endoscopical surgery for chronic sinusitis. III. Endonasal ethmoidectomy (author's transl). HNO 29:287–293
Wigand ME (1990) Endoscopic surgery of the paranasal sinuses and anterior skull base. Thieme Medical Publishers, New York
Wigand ME, Steiner W, Jaumann MP (1978) Endonasal sinus surgery with endoscopical control: from radical operation to rehabilitation of the mucosa. Endoscopy 10:255–260
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Iro, H., Mayr, S., Schick, B. et al. Clinical outcome of partial ethmoidectomy for chronic rhinosinusitis. Eur Arch Otorhinolaryngol 263, 572–577 (2006). https://doi.org/10.1007/s00405-006-0012-3
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DOI: https://doi.org/10.1007/s00405-006-0012-3