Prospective study on the outcome of the sphenoid drill out procedure.
Rhinology
; 56(2): 178-182, 2018 Jun 01.
Article
de En
| MEDLINE
| ID: mdl-29447326
ABSTRACT
BACKGROUND:
Chronic sphenoid sinusitis refractory to both medical therapy and sphenoidotomy requires a more extended intervention based on the principles of salvage surgery. Our aim is to describe the sphenoid drill out technique as a sphenoid salvage intervention and to outline its implications on clinical outcome and quality of life.METHODOLOGY:
12 patients with chronic sphenoiditis undergoing a sphenoid drill out procedure were examined by nasal endoscopy preoperatively and postoperatively for one year. Preoperative and postoperative quality of life questionnaires (RSOM-31 and SF-36) were obtained.RESULTS:
All but one patient had a completely patent neostium without scar formation. No major complications occurred after this procedure. All patients reported at least an improvement of their symptoms, 50% of patients were even symptom free at one year after surgery. The median postoperative RSOM-31 score was significantly lower than the preoperative score. Both the physical component summary (PCS) and the mental component summary (MCS) of the SF-36 score improved significantly. None of the patients needed a revision procedure.CONCLUSION:
Sphenoid drill out is a safe and effective technique with a high success rate. In patients with chronic sphenoid sinusitis refractory to medical therapy and surgery it could be a valid alternative to revision sphenoidotomy.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Qualité de vie
/
Sinusite sphénoïdale
/
Chirurgie endoscopique par orifice naturel
/
Procédures chirurgicales du nez
/
Complications peropératoires
Type d'étude:
Diagnostic_studies
/
Observational_studies
Aspects:
Patient_preference
Limites:
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Rhinology
Année:
2018
Type de document:
Article
Pays d'affiliation:
Belgique