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Preoperative CT checklist (using the ‘CLOSE’ mnemonic) improves identification of anatomical variants for endoscopic sinus surgery

1 July 2018 | | CLOSE criteria, ESS, checklist, preoperative evaluation, resident training, sinus CT, sinus surger
Computed tomography (CT) scans of the paranasal sinuses act as roadmaps for endoscopic sinus surgery (ESS) and careful inspection preoperatively warns the operating surgeon of critical anatomical variants. This study aimed to investigate if implementation of a pre-ESS CT checklist...

Managing spontaneous CSF leaks secondary to benign intracranial hypertension

6 October 2017 | | Cerebrospinal fluid rhinorrhea, Endonasal endoscopic surgical procedures, Idiopathic intracranial hypertension, Spontaneous cerebrospinal fluid leaks
Spontaneous CSF leaks are a rare entity. In this paper, a Spanish group report their experience managing the condition using endoscopic surgery in 35 patients over an eight year period. Leak locations included the cribriform plate (18/35), ethmoid roof (15/35)...

A new biomarker for chronic rhinosinusitis

1 July 2017 | | Chronic rhinosinusitis, periostin, inflammation, remodelling
This Chinese study looked at the feasibility of periostin (usually found in bone and lung tissue) as a biomarker for chronic rhinosinusitis. They sampled ethmoid mucosa in 12 patients with chronic rhinosinusitis without nasal polyposis (CRSsNP) and 25 patients with...
Otolaryngology - Head and Neck Surgery journal cover image.

Transverse venous sinus stenosis – a risk factor for CSF leak in patients with idiopathic intracranial hypertension

3 May 2024 | | Skull Base Surgery
This was a multicentre (six French tertiary hospitals) retrospective case-controlled study aiming to investigate the rate of transverse venous sinus stenosis (TVSS) in patients with idiopathic intracranial hypertension (IIH) with nasal cerebrospinal fluid (CSF) leaks. They compared the preoperative MRI...

A spoonful of sugar… helps the operated sinuses calm down?

1 March 2016 |
Ottoviano et al. present a prospective double-blinded RCT to assess the effect of a nasal gel containing silver sucrose octasulfate (Silsos Gel) on wound healing after endoscopic sinus surgery. The placebo used was a glycol gel. Thirty-four consecutive patients were...

Retained surgical cottonoids in the nose

1 January 2018 |
his is an interesting group of case reports essentially documenting the presence and characteristics of retained surgical packing (non-resorbable) post sinus surgery. Paranasal gossypiboma refers to surgical foreign objects such as sponge or patties that are left in the nose;...

Outpatient closure of CSF leaks: a good idea or a step too far?

1 January 2017 | | ambulatory surgery, anterior skull base, cerebrospinal fluid leak, cerebrospinal fluid rhinorrhea, endoscopic, outpatient, skull-base defect, spontaneous CSF leak
After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...

CSF leak – endoscopic or open repair?

1 January 2016 | | Cerebrospinal fluid, Endoscopic endonasal approach, Paranasal sinuses, Rhinorrhea
Cerebrospinal fluid (CSF) rhinorrhoea is well known to the ENT surgeon. It commonly occurs secondary to a predisposing event such as accidental or iatrogenic trauma. When it occurs spontaneously, it can be associated with benign intracranial hypertension. The commonest CSF...

Functional Endoscopic Sinus Surgery (FESS) - Part 1

1 July 2016 | | Rhinology / Sinus
In the first of a two-part series, Martyn Barnes and colleagues discuss indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery. In part two, the authors will discuss how to...

Nasal septal perforation repair

1 March 2018 | | Rhinology / Sinus
Nasal septal perforation repair has traditionally been a great challenge. Many surgical techniques are described, however the success rate of closure has often been poor. Experience from the use of pedicled vascularised mucosal flaps in skull base surgery has been...

Functional Endoscopic Sinus Surgery (FESS) - Part 2

1 November 2016 | | Rhinology / Sinus
In the first of this two-part series, Martyn Barnes and colleagues discussed indications for functional endoscopic sinus surgery (FESS), the surgical objectives and techniques, patient expectations and the risks of surgery [1]. In this second and final part, the authors...

Facing changes after surgery through portraiture

4 September 2023 | | ENT, Maxillofacial Surgery, Rhinology / Sinus
‘Facing Out: Life After Treatment for Facial Cancer’ was a two-year arts-for-health project funded by Arts Council England and The National Lottery which culminated in an exhibition at The Whitworth Art Gallery, Manchester, in February 2019. Here, artist and project...