2011, Number 1
Next >>
Revista Cubana de Cirugía 2011; 50 (1)
Results of the nasosinusal endoscopic surgery in nasosinusal polyposis with and without micro defibrillator
Machín GVV, Ortíz JR, García EI, Reyes GO, González FN
Language: Spanish
References: 22
Page: 1-9
PDF size: 90.63 Kb.
ABSTRACT
INTRODUCTION. Nasal polyposis is a multifactor disease with prevalence in general population from 2 to 5%. The objective of present paper was to compare the surgical results in 60 patients with nasosinusal polyposis operated on with and without micro-defibrillator.
METHODS. Sixty patients operated on between 2002 and 2006. The related factors were studied including asthma, acetylsalicylic acid and allergy. Previous, endoscopic or conventional surgeries were considered as well as the minor and major complications derived from it. The non-controlled cases with medical treatment were reviewed.
RESULTS. The overall results were satisfactory: at two years 29 patients (48,3%) were asymptomatic, 45 (75%) with fossae free of polypi, 11 (18,3%) with relapse controlled by medical treatment and only a reintervention in two patients (3,3%). The figure of complications remained very low of the reasonable level; there was only 2 (3,3%) (major complications): a periorbital hematoma and a lesion of papyraceous plate.
CONCLUSIONS. The nasosinusal affections and specially the nasal polyposis to do
well out the endoscopic surgical treatment. The experience and the use of
motorized instrumental (micro- defibrillator) have improved even more the results
of this technique.
REFERENCES
Hedman J, Kaprio J, Poussa T, Mieminem MM. Prevalence of asthma, aspirin intolerance, nasal poliposis and chronic obstructive pulmonary disease in a population-based study. Int J Epidemiol. 1999;28:717-22.
Fokkens W, Lund V, Bachert C, Clement P, Hellings P, Holmstrom M, et al. Declaración europea de consenso sobre rinosinusitis y poliposis nasal. Acta Otorrinolaringol Esp. 2005;56 Supl 2:1.
Meltzer EO, Hamilos D, Hadley J, Lanza D, Marple B, Nicklas R, et al. Rhinosinusitis: Establishing definition for clinical research and patient care. J Allergy Clin Immunol. 2004;114 Suppl 6:155-212.
Damm M. Effects of systemic steroid treatment in chronic polypoid rhinosinusitis evaluated with magnetic resonance imaging. Otolaryngol Head Neck Surg. 1999;120(4):517-23.
Cervin A, Wallwork B. Anti-inflammatory effects of macrolide antibiotics in the treatment of chronic rhinosinusitis. Otolaryngol Clin North Am. 2005;38:1339-50.
Blomquist E, Lundblad L, Anggard A, Haraldsson P, Dtjarne Pl. A randomized controlled study evaluating medical treatment versus surgical treatment in addition to medical treatment of nasal poliposis. J Allergy Clin Immunol. 2001;107:224-8.
Soler R, Cauwenberge PV. Sinusitis crónica y poliposis. Capítulo 8. Poliposis Nasal y Alergia. Madrid: Ediciones médico S.A.; 2002. Pp. 59-64.
Lund V, Kennedy D. Quantification for staging sinusitis. Ann Otol Rhinol Laryngol. 1995;104 Suppl 10:1-31.
Smith TL, Mendolia-Loffredo S, Loehrl TA, Sparapani R, Land P, Nattinger A. Predictive factors and outcomes in endoscopic sinus surgery for chronic rhinosinusitis. Laringoscope. 2005;115:2199-205.
Schaitkin B, May M, Shapiro A, Fucci M, Mester S. Endoscopic sinus surgery: 4- year follow-up on the first 100 patients. Laryngoscope. 1993;103:117-20.
Hopkins C, Browne J, Slack R, Lund V, Topham J, Reeves B, et al. Complications of surgery for nasal polyposis and chronic rhinosinusitis: The results of a national audit in England and Wales. Laryngoscope. 2006;116:1494-9.
David Jofré P, Javiera Pardo J, Andrés Finkelstein K. Tratamiento médico de la rinosinusitis crónica. Revisión. Rev Otorrinolaringol Cir Cabeza Cuello Chile. 2009;69:169-84.
Kane K. Australian experience with functional endoscopic sinus surgery and its complications. Ann Otol Rhinol Laryngol. 1993;102:613-5.
Polzehl D, Moeller P, Riechelmann H, Perner S. Distinct features of chronic rhinosinusitis with and without nasal polyps. Allergy. 2006;61:1275-9.
Cohen N, Kennedy D. Endoscopic sinus surgery: where we are and where we're going. Curr Opin Otolaryngol Head Neck Surg. 2005;13:32-8.
Llorente JL, Pendás, Suárez Nieto C, Machín González V, Moro Melón M. Tratamiento por cirugía endoscópica nasal de las complicaciones orbitarias causadas por procesos inflamatorios nasosinusales. Rev Cubana Cir. 1999;38(3):184-90.
Lobo DR, López Cortijo C, De la Fuente R, Laguna D, Pinilla M, Górriz C. Cirugía endoscópica nasosinusal: revisión de 1093 casos. Acta Otorrinolaringol Esp. 2003;54:435-40.
Llorente JL. Pólipos nasales. En: Tratado de otorrinolaringología y cirugía de cabeza y cuello. Tomo I. Madrid: Proyectos Médicos S.L.; 1999. Pp. 527-37.
Poetker DM, Mendolia-Lofredo S, Smith TL. Outcomes of endoscopic sinus surgery for chronic rhinosinusitis associated with sinonasal poliposis. Am J Rhinol. 2007;21:84-8.
Virolainen E, Puhakka H. The effect of intranasal beclomethasone dipropionate on the recurrence of nasal polyps after ethmoidectomy. Rhinology 1980;18:9-18.
Hartwig S, Linden M, Laurent C, Vargo AK, Lindqvist N. Budesonide nasal spray as prophylactic treatment after polypectomy (a doubleblind clinical trial). J Laryngol Otol. 1998;102:148-51.
Llorente JL, Martínez-Farreras A, Rodrigo JP, Pérez P, Muñoz C, Barajano L, Suarez C. Poliposis nasal: resultados postoperatorios a largo plazo (5 años) después de cirugía endoscópica sinusal. Acta Otorrinolaringol Esp. 2002;53(2):102-9.