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Functional endoscopic sinus surgery in the management of chronic rhinosinusitis. An objective assessment

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund ,
Mats Holmstrom  and
Glenis K. Scadding
Valerie J. Lund*
Affiliation:
Senior Lecturer in Rhinology, Institute of Laryngology and Otology, London.
Mats Holmstrom
Affiliation:
Clinical Research Fellow, Institute of Laryngology and Otology, and Department of Oto-Rhino-Laryngology, Karolinska Institute, Huddinge University, Sweden.
Glenis K. Scadding
Affiliation:
Consultant Medical Rhinologist, Royal National Throat Nose and Ear Hospital, London.
*
Miss Valerie Lund, The Institute of Laryngology and Otology, 330–332 Gray's Inn Road, London WC1X 8EE.
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Abstract

Considerable clinical success has been claimed for functional endoscopic sinus surgery but objective assessment of prospective series is lacking in the literature. Twenty-four patients with chronic rhino-sinusitis underwent assessment of symptoms by visual analogue scoring, nasomucociliary function by ciliary beat frequency, olfaction by qualitative olfactometry and nasal airway resistance by anterior rhinomanometry pre- and post-operatively. This demonstrated a significant improvement in all symptoms examined and in ciliary beat frequency. Quantitative olfaction and anterior rhinomanometry were not improved despite diminished symptoms. These results offer quantitative evidence of clinical improvement following functional endoscopic sinus surgery which supports the pathophysiological concepts on which the technique is based.

Keywords

SinusitisParanasal sinus surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 105 , Issue 10 , October 1991 , pp. 832 - 835
Copyright
Copyright © JLO (1984) Limited 1991

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