Objective: To investigate the factors relating to bleeding secondary to endoscopic sinus surgery.
Method: 193 patients suffered from nasal polyps, chronic sinusitis and underwent endoscopic sinus surgery between May 1995 and February 2001 were analyzed. These patients's state of operation affairs tallies with this study's selecting condition and their clinic data was complete. The factors relating to bleeding secondary to endoscopic sinus surgery were analyzed with multiple stepwise regression analysis with STATA31 statistic computer software.
Result: 20 selected hemorrhage factors were analyzed with multiple stepwise regressions. With these factors progressively removed, 5 items as follows showed relation to the hemorrhage: X18, X19, X9, X11, X20. An optimal regression equation for predicting hemorrhage has been established. According to this equation, the blood loss of endoscopic sinus surgery could be estimated.
Conclusion: The clinical signification of 5 factors were recognized: 1. X18: Anatomy mark was broken down in former operation and showed difficulty when identified. 2. X19: Sinus presented proliferation such as scar forming, blood vessel showed hyperemia, sinus wall showed hyperplasia, Aperture being narrow and small. 3. X9: Sinusitis showed late stages. 4. X11: Estimated blood loss was significantly greater under general anesthesia. 5. X20: Operation went on over 2 hours. If aforementioned condition appears, blood loss may exceed 200 ml.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Craniofacial Pain Locations and Outcomes After Endoscopic Sinus Surgery for Unilateral Sphenoid Sinusitis: A Multi-Institutional Study.
Laryngoscope
January 2025
Department of Otolaryngology-Head and Neck Surgery, Henry Ford Health, Detroit, Michigan, U.S.A.
Introduction: Unilateral sphenoid sinus opacification on computed tomography is caused by a variety of pathologies including inflammatory and infectious sinusitis, benign and malignant tumors, and encephaloceles. The purpose of this study was to report craniofacial pain locations and outcomes in inflammatory unilateral sphenoid sinusitis (USS) patients who underwent endoscopic sinus surgery (ESS).
Methods: A multi-institutional retrospective cohort study was conducted on all adult patients who had ESS for USS from 2015 to 2022.
[Development of paranasal sinus surgery in Austria and Switzerland: past, present, and future].
HNO
January 2025
Zentrum für HNO- und plastische Gesichtschirurgie, ORL-Zentrum Klinik Hirslanden, Zürich, Schweiz.
Thanks to our predecessors and technical progress, we can nowadays offer our patients a safe and modern paranasal sinus surgery. This article provides an overview of the historical development of paranasal sinus surgery in Austria and Switzerland and to shed light on the dynamic progress of this discipline in an international context. Paranasal sinus surgery has undergone significant change in recent decades, driven by rapid technological advances that have significantly improved surgical procedures and operative outcomes.
View Article and Find Full Text PDFTreatment Decision-Making Among Chinese Americans With Chronic Rhinosinusitis.
Laryngoscope
January 2025
Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California, U.S.A.
Objective: There has been limited research on the influence of race and ethnicity on treatment decision-making for chronic rhinosinusitis (CRS). This prospective study aims to investigate potential factors linked to treatment modality choice among patients with medically refractory CRS, distinguishing between Chinese American and non-Chinese American patients.
Methods: CRS patients with persistent symptoms despite prior medical treatment were prospectively enrolled.
Outcome of Preoperative Oral Steroids on Patients With Sinonasal Polyposis.
J Rhinol
November 2024
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, India.
Background And Objectives: This study aimed to evaluate whether preoperative oral prednisolone improves the intraoperative parameters and postoperative outcomes over a 3-month period in patients of sinonasal polyposis who undergo functional endoscopic sinus surgery.
Methods: In a triple-blind, randomized controlled study, 43 patients diagnosed with sinonasal polyposis in the Department of ENT, AIIMS, Jodhpur, were enrolled. After obtaining institutional ethics clearance and registering the clinical trial, randomization was conducted to assign participants into experimental and control groups.
Adaptive evaluation of gross total resection rates for endoscopic endonasal approach based on preoperative MRI morphological features of pituitary adenomas.
Front Oncol
December 2024
Department of Neurosurgery, West China Hospital/West China School of Medicine, Sichuan University, Chengdu, Sichuan, China.
Objective: This study aims to define a set of related anatomical landmarks based on preoperative Magnetic Resonance Imaging (MRI) of patients with pituitary adenomas (PAs). It explores the impact of the dynamic relationships between different anatomical landmarks and the tumor on the resection rate and tumor progression/recurrence during the endoscopic endonasal approach (EEA).
Methods: A single-center institutional database review was conducted, identifying patients with PAs treated with EEA from December 2018 to January 2023.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!