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https://hdl.handle.net/2440/52218
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dc.contributor.author | Grobler, A. | - |
dc.contributor.author | Weitzel, E. | - |
dc.contributor.author | Beule, A. | - |
dc.contributor.author | Jardeleza, C. | - |
dc.contributor.author | Cheong, Y. | - |
dc.contributor.author | Field, J. | - |
dc.contributor.author | Wormald, P. | - |
dc.date.issued | 2008 | - |
dc.identifier.citation | The Laryngoscope, 2008; 118(11):2078-2081 | - |
dc.identifier.issn | 0023-852X | - |
dc.identifier.issn | 1531-4995 | - |
dc.identifier.uri | http://hdl.handle.net/2440/52218 | - |
dc.description.abstract | OBJECTIVE/HYPOTHESIS: Endoscopic sinus surgery is an accepted treatment for medically recalcitrant chronic rhinosinusitis. Effective saline douching may improve long-term outcomes of chronic rhinosinusitis but is often impaired by postoperative ostial stenosis. The aim of this study is to determine a critical ostial size at which douching solution reliably enters the sinus cavities. STUDY DESIGN: Prospective study of consecutive patient cohort. METHODS: Seventeen preoperative or well-healed postoperative endoscopic sinus surgery patients were irrigated with 5 mL blue food coloring mixed with 200 mL buffered saline from a squeeze bottle. The degree of sinus penetration, sinus ostial patency, and ostial size were endoscopically determined. RESULTS: Sinuses penetrated by blue dye had a significantly larger minimal ostial dimension (7.31 mm; 95% confidence interval 5.54-9.08) than those that had no blue dye penetration (1.26 mm; 95% confidence interval 0.86-1.66) as determined by Student t test. Chi-square analysis showed that operated sinuses were more likely to be penetrated than nonoperated sinuses (P = .0016) and obstructed sinuses (P = .0325). Logistic regression showed a 95% probability of penetration when the minimum ostial dimension is 3.95 mm or greater. CONCLUSIONS: Unoperated sinuses or cases with gross sinus ostial obstruction will not be reliably penetrated by sinus irrigant. A 3.95-mm ostial diameter seems to be the minimum size to guarantee penetration in paranasal sinuses to maximize the potential for topical sinus treatment. | - |
dc.description.statementofresponsibility | Alethea Grobler, Erik K. Weitzel, Achim Buele, Camille Jardeleza, Yew C. Cheong, John Field, Peter-John Wormald | - |
dc.language.iso | en | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.source.uri | http://dx.doi.org/10.1097/mlg.0b013e31818208c1 | - |
dc.subject | Endoscopic sinus surgery | - |
dc.subject | nasal irrigation | - |
dc.subject | sinus ostia stenosis | - |
dc.subject | nasal douche. | - |
dc.title | Pre- and Postoperative Sinus Penetration of Nasal Irrigation | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1097/MLG.0b013e31818208c1 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Wormald, P. [0000-0001-7753-7277] | - |
Appears in Collections: | Aurora harvest 5 Surgery publications |
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