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Long-term radiological findings after endonasal endoscopic approach to the skull base


, : Long-term radiological findings after endonasal endoscopic approach to the skull base. American Journal of Otolaryngology 37(2): 103-107

To study the long-term radiological findings after endonasal endoscopic approach to the skull base. Prospective study that included 55 patients who underwent advance endoscopic skull base surgery. All patients were evaluated with MRI before, 3 months and 12 months after surgery. We used the Lund-Mackay staging system for chronic rhinosinusitis to evaluate the paranasal cavities and the sinonasal scoring system to assess sinonasal symptoms. Seventeen patients (30.9%) underwent extended endonasal approach that required a nasoseptal flap (NSF) for reconstruction of skull base. At baseline the mean total Lund-Mackay score was 0.63 ± 1.2 (range 0-4), and at 3 and 12 months postoperatively the mean scores were 3.5 ± 3.8 (range 0-14) and 2.0 ± 2.5 (range 0-8) respectively. Patients who needed an NSF for reconstruction had a greater Lund-Mackay score (p<0.05). Moreover, NSF is correlated with sinonasal mucosal thickening and fluid retention at 3 months (r=0.45, p<0.01) and 12 months (r=0.4, p<0.01). Total 5-symptom score (T5SS) was similar between both groups at baseline. Patients with extended endoscopic approach reported more smell loss (40.1 ± 26.2; p<0.05) and posterior nasal discharge (49.3 ± 30.1; p<0.05) than TTEA patients (21.6 ± 30.9 and 22.5 ± 27.5 respectively). We observed that sinus opacity is still present after one year of advance endoscopic skull base surgery but symptoms seems to return to basal after 12 months of follow-up.

US$19.90

PMID: 26954861

DOI: 10.1016/j.amjoto.2015.12.006


Other references

Sade, J.; Levy, E.; Chaco, J., 1965: Surgery and pathology of Bell's palsy. Archives of Otolaryngology 82(6): 594-602

Anonymous, 1954: Collar rot of citrus trees. Description of Phytophthora citrophthora infection on trunks, shoots and fruit.

Ryan U.S.; Ryan J.W., 1979: Vasoactive substances and the lungs cellular mechanisms. Saldeen, T (Ed ) The Microembolism Syndrome Vii+239p Almqvist And Wiskell International: Stockholm, Sweden Illus P223-232

Tierney, W.M.; Gerrity, M.S.; Byrne, C., 2010: Five years before the masthead: our journey with the Journal of General Internal Medicine. Journal of General Internal Medicine 24(12): 1349-1355

Erndt-Marino, J.; Hahn, M.S., 2016: Probing the response of human osteoblasts following exposure to sympathetic neuron-like PC-12 cells in a 3D co-culture model. Journal of Biomedical Materials Research. Part A: -

Buzzanell, P., 1977: Central American coffee producers face uncertainty. Coffee-producing countries of Mexico and Central America in 1976 and early 1977 found their foreign exchange earnings rising as a result of rising coffee prices. Now they are burdened by problems of sales suspensions, lower prices and consumer dem...

Stengel, U., 1986: Effectiveness of partial proximal phalanx resection in the surgical treatment of hallux valgus. Beitrage Zur Orthopadie und Traumatologie 33(12): 616-624

Pinniger, E.B., 1950: Notes on some rare dragonflies. Transactions of the South London Entomological and Natural History Society, 1948-49: 161-164

Awad, F.; Bassiouni, A.; Gadalla, M.; El-Sisi, M.; Hussein, A., 1977: Studies on poultry anaerobes in Egypt. 1. An attempt to isolate anaerobic bacteria from the intestinal tract of normal and dead chickens. Egyptian journal of veterinary science: ub 1977), 13 (1) 1-6

Duric, K.; Skrablin, S.; Lesin, J.; Kalafatic, D.; Kuvacic, I.; Suchanek, E., 2003: Second trimester total human chorionic gonadotropin, alpha-fetoprotein and unconjugated estriol in predicting pregnancy complications other than fetal aneuploidy. To assess the value of alpha-fetoprotein (AFP), total human chorionic gonadotropin (ThCG) and unconjugated estriol in predicting certain complications of pregnancy other than fetal aneuploidy. Among 2384 women that underwent biochemical screening...