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https://hdl.handle.net/2440/58434
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DC Field | Value | Language |
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dc.contributor.author | Seiberling, K. | - |
dc.contributor.author | Ooi, E. | - |
dc.contributor.author | Yip, J. | - |
dc.contributor.author | Wormald, P. | - |
dc.date.issued | 2009 | - |
dc.identifier.citation | American Journal of Rhinology and Allergy, 2009; 23(6):615-618 | - |
dc.identifier.issn | 1945-8924 | - |
dc.identifier.issn | 1945-8932 | - |
dc.identifier.uri | http://hdl.handle.net/2440/58434 | - |
dc.description.abstract | Background: The appropriate surgical approach to the severely diseased maxillary sinus is still debatable. Some advocate creating a wide maxillary antrostomy to allow for increased ventilation and improved delivery of postoperative medication. Others, however, recommend more aggressive surgery with complete clearance of all diseased tissue. The aim of this study was to evaluate the outcome of canine fossa puncture and canine fossa trephine (CFT) for the severely diseased maxillary sinus. Methods: A retrospective chart review was performed on 97 patients who underwent a CFT as a part of endoscopic sinus surgery or modified Lothrop procedure. Outcomes were measured in terms of the maxillary sinus endoscopy grade at last follow-up and need for revision surgery. Two groups were formed: those who experienced recurrence of disease and those who were disease free at last follow-up. A comparison was made between the two groups and differences were noted. Results: A CFT was performed in 97 patients with nasal polyposis (NP) who had an average number of 2.38 previous sinus surgeries. At an average follow-up of 27.8 months, 80 of the patients were disease free. In 17 patients disease recurred, and 11 of those required revision surgery with a CFT. Those patients who had recurrence of disease tended to be more allergic, have higher Lund-Mackay score, and had an increased number of prior sinus surgeries. In addition, allergic fungal sinusitis was associated with a poorer prognosis after CFT. Conclusion: CFT allows for complete clearance of all gross disease in the maxillary sinus. CFT decreases the chance of disease recurrence in patients with severe NP. | - |
dc.description.statementofresponsibility | Kristin Seiberling, Eng Ooi, Jia MiinYip, Peter-John Wormald | - |
dc.language.iso | en | - |
dc.publisher | Ocean Side Publications Inc | - |
dc.rights | Copyright status unknown | - |
dc.source.uri | http://dx.doi.org/10.2500/ajra.2009.23.3373 | - |
dc.subject | Allergic fungal sinusitis | - |
dc.subject | Caldwell-Luc | - |
dc.subject | canine fossa trephine | - |
dc.subject | chronic rhinosinusitis | - |
dc.subject | endoscopic sinus surgery | - |
dc.subject | eosinophilic mucin | - |
dc.subject | maxillary antrostomy | - |
dc.subject | maxillary sinus | - |
dc.subject | nasal polyps | - |
dc.title | Canine fossa trephine for the severely diseased maxillary sinus | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.2500/ajra.2009.23.3373 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Wormald, P. [0000-0001-7753-7277] | - |
Appears in Collections: | Aurora harvest Surgery publications |
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