Advertisement

Adjunctive Surgical Therapies in the Treatment of Rhinosinusitis

  • Joel Guss
  • Erica R. Thaler
Chapter

Rhinosinusitis refers to any inflammatory condition of the nose and paranasal sinuses. Although the terms rhinitis and sinusitis are often used independently, the term rhinosinusitis reflects an understanding that most pathological processes will affect the entire mucous membrane of the nose and sinuses. Rhinosinusitis represents a heterogeneous group of diseases and is the end result of a myriad of pathophysiological processes that include infection, allergy, autoimmunity, environmental exposure, structural abnormalities, hormonal effects, and genetic disease. The interaction of multiple processes in each individual patient further complicates the understanding and management of the disease.

Rhinosinusitis is very common. Approximately 32 million adults in the United States received a diagnosis of rhinosinusitis in 1998, reflecting 16% of the adult population [1]. Approximately 40 million Americans are estimated to be affected by allergic rhinitis each year, with half of these...

Keywords

Allergic Rhinitis Nasal Obstruction Nasal Septum Inferior Turbinate Middle Turbinate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Anand VK. Epidemiology and economic impact of rhinosinusitis. Ann Otol Rhinol Laryngol Suppl 2004;193:3–5.PubMedGoogle Scholar
  2. 2.
    Nathan RA. The burden of allergic rhinitis. Allergy Asthma Proc 2007;28(1): 3–9.Google Scholar
  3. 3.
    HealthStar Communications, Inc. in partnership with Schulman, Ronca and Bucuvalas, Inc. Allergies in America: a landmark survey of nasal allergy sufferers. Executive Summary. 2006.Google Scholar
  4. 4.
    Kim D, Baraniuk JN. Neural aspects of allergic rhinitis. Curr Opin Otolaryngol Head Neck Surg 2007;15(4):268–273.PubMedCrossRefGoogle Scholar
  5. 5.
    Toriumi DM, Josen J, Weinberger M, et al. Use of alar batten grafts for correction of nasal valve collapse. Arch Otolaryngol Head Neck Surg 1997;123(8):802–808.PubMedCrossRefGoogle Scholar
  6. 6.
    Boccieri A, Marco C, Pascali M. The use of spreader grafts in primary rhinoplasty. Ann Plastic Surg 2005;55(2):127–131.CrossRefGoogle Scholar
  7. 7.
    Gosepath J, Mann WJ, Amedee RG. Effects of the Breathe Right nasal strips on nasal ventilation. Am J Rhinol 1997;11(5):399–402.PubMedCrossRefGoogle Scholar
  8. 8.
    Sheen JH. Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty. Plastic Reconstr Surg 1984;73(2):230–239.CrossRefGoogle Scholar
  9. 9.
    Khosh MM, Jen A, Honrado C, et al. Nasal valve reconstruction: experience in 53 consecutive patients. Arch Facial Plast Surg 2004;6(3):167–171.PubMedCrossRefGoogle Scholar
  10. 10.
    Stewart MG, Smith TL, Weaver EM, et al. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004;130(3):283–290.PubMedCrossRefGoogle Scholar
  11. 11.
    Siegel NS, Gliklich RE, Taghizadeh F, et al. Outcomes of septoplasty. Otolaryngol Head Neck Surg 2000;122(2):228–232.PubMedCrossRefGoogle Scholar
  12. 12.
    Berger G, Gass S, Ophir D. The histopathology of the hypertrophic inferior turbinate. Arch Otolaryngol Head Neck Surg 2006;132(6):588–594.PubMedCrossRefGoogle Scholar
  13. 13.
    Akoglu E, Karazincir S, Balci A, et al. Evaluation of the turbinate hypertrophy by computed tomography in patients with deviated nasal septum. Otolaryngol Head Neck Surg 2007;136(3):380–384.PubMedCrossRefGoogle Scholar
  14. 14.
    Moore GF, Freeman TJ, Ogren FP, et al. Extended follow-up of total inferior turbinate resection for relief of chronic nasal obstruction. Laryngoscope 1985;9(pt 1):1095–1099.Google Scholar
  15. 15.
    Jackson LE, Koch RJ. Controversies in the management of inferior turbinate hypertrophy: a comprehensive review. Plast Reconstr Surg 1999;103(1):300–312.PubMedCrossRefGoogle Scholar
  16. 16.
    Thomas PL, John DG, Carlin WV. The effect of inferior turbinate outfracture on nasal resistance to airflow in vasomotor rhinitis assessed by rhinomanometry. J Laryngol Otol 1988;102(2):144–145.PubMedCrossRefGoogle Scholar
  17. 17.
    Wexler D, Braverman I. Partial inferior turbinectomy using the microdebrider. J Otolaryngol 2005;34(3):189–193.PubMedCrossRefGoogle Scholar
  18. 18.
    Lee JY, Lee JD. Comparative study on the long-term effectiveness between coblation- and microdebrider-assisted partial turbinoplasty. Laryngoscope 2006;116(5):729–734.PubMedCrossRefGoogle Scholar
  19. 19.
    Carrie S, Wright RG, Jones AS, et al. Long-term results of trimming of the inferior turbinates. Clin Otolaryngol Allied Sci 1996;21(2):139–141.PubMedCrossRefGoogle Scholar
  20. 20.
    Passali D, Bernstein JM, Passali FM, et al. Treatment of inferior turbinate hypertrophy: a randomized clinical trial. Ann Otol Rhinol Laryngol 2003;112(8):683–688.PubMedGoogle Scholar
  21. 21.
    Friedman M, Tanyeri H, Lim J, et al. A safe, alternative technique for inferior turbinate reduction. Laryngoscope 1999;109(11):1834–1837.PubMedCrossRefGoogle Scholar
  22. 22.
    Farmer SEJ, Eccles R. Understanding submucosal electrosurgery for the treatment of nasal turbinate enlargement. J Laryngol Otol 2007;121(7):615–622.PubMedCrossRefGoogle Scholar
  23. 23.
    Fradis M, Malatskey S, Magamsa I, et al. Effect of submucosal diathermy in chronic nasal obstruction due to turbinate enlargement. Am J Otolaryngol 2002;23(6):332–336.PubMedCrossRefGoogle Scholar
  24. 24.
    Jones AS, Lancer JM. Does submucosal diathermy to the inferior turbinates reduce nasal resistance to airflow in the long term? J Laryngol Otol 1987;101(5):448–451.PubMedCrossRefGoogle Scholar
  25. 25.
    Nease CJ, Krempl GA. Radiofrequency treatment of turbinate hypertrophy: a randomized, blinded, placebo-controlled clinical trial. Otolaryngol Head Neck Surg 2004;130(3):291–299.PubMedCrossRefGoogle Scholar
  26. 26.
    Porter MW, Hales NW, Nease CJ, et al. Long-term results of inferior turbinate hypertrophy with radiofrequency treatment: a new standard of care? Laryngoscope 2006;116(4): 554–557.PubMedCrossRefGoogle Scholar
  27. 27.
    Cavaliere M, Mottola G, Iemma M. Comparison of the effectiveness and safety of radiofrequency turbinoplasty and traditional surgical technique in treatment of inferior turbinate hypertrophy. Otolaryngol Head Neck Surg 2005;133(6):972–978.PubMedCrossRefGoogle Scholar
  28. 28.
    Bhattacharyya N, Kepnes LJ. Clinical effectiveness of coblation inferior turbinate reduction. Otolaryngol Head Neck Surg 2003;129(4):365–371.PubMedCrossRefGoogle Scholar
  29. 29.
    Janda P, Sroka R, Baumgartner R, et al. Laser treatment of hyperplastic inferior nasal turbinates: a review. Lasers Surg Med 2001;28(5):404–413.PubMedCrossRefGoogle Scholar
  30. 30.
    Wang HK, Tsai YH, Wu YY, et al. Endoscopic potassium-titanyl-phosphate laser treatment for the reduction of hypertrophic inferior nasal turbinate. Photomed Laser Surg 2004;22(3): 173–176.PubMedCrossRefGoogle Scholar
  31. 31.
    Elwany S, Thabet H. Endoscopic carbon dioxide laser turbinoplasty. J Laryngol Otol 2001;115(3):190–193.PubMedCrossRefGoogle Scholar
  32. 32.
    Janda P, Sroka R, Tauber S, et al. Diode laser treatment of hyperplastic inferior nasal turbinates. Lasers Surg Med 2000;27(2):129–139.PubMedCrossRefGoogle Scholar
  33. 33.
    Ferrie E, Armato E, Cavaleri S, et al. Argon plasma surgery for treatment of inferior turbinate hypertrophy: a long-term follow-up in 157 patients. ORL J Otorhinolaryngol Relat Spec 2003;65(4):206–210.CrossRefGoogle Scholar
  34. 34.
    Lippert BM, Werner JA. Comparison of carbon dioxide and neodymium: yttrium-aluminum-garnet lasers in surgery of the inferior turbinate. Ann Otol Rhinol Laryngol 1997;106(12):1036–1042.PubMedGoogle Scholar
  35. 35.
    DeRowe A, Landsberg R, Leonov Y, et al. Subjective comparison of Nd:YAG, diode, and CO2 lasers for endoscopically guided inferior turbinate reduction surgery. Am J Rhinol 1998;12(3):209–212.PubMedCrossRefGoogle Scholar
  36. 36.
    Kemeny L, Loreck A. Ultraviolet light phototherapy for allergic rhinitis. J Photochem Photobiol B. 2007;87(1):58–65.PubMedCrossRefGoogle Scholar
  37. 37.
    Csoma Z, Koreck A, Ignacz F, et al. PUVA treatment of the nasal cavity improves the clinical symptoms of allergic rhinitis and inhibits the immediate-type hypersensitivity reaction in the skin. J Photochem Photobiol B 2006;83(1):21–26.PubMedCrossRefGoogle Scholar
  38. 38.
    Koreck AI, Csoma Z, Bodai L, et al. Rhinophototherapy: a new therapeutic tool for the management of allergic rhinitis. J Allergy Clin Immunol 2005;115(3):541–547.PubMedCrossRefGoogle Scholar
  39. 39.
    Csoma Z, Ignacz F, Bor Z, et al. Intranasal irradiation with the xenon chloride ultraviolet B laser improves allergic rhinitis. J Photochem Photobiol B 2004;75(3):137–144.PubMedCrossRefGoogle Scholar
  40. 40.
    Bolger WE, Vaughan WC. Catheter-based dilation of the sinus ostia: initial safety and feasibility analysis in a cadaver model. Am J Rhinol 2006;20(3):290–294.PubMedCrossRefGoogle Scholar
  41. 41.
    Bolger WE, Brown CL, Church CA, et al. Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients. Otolaryngol Head Neck Surg 2007;137(1):10–20.PubMedCrossRefGoogle Scholar
  42. 42.
    Lanza DC, Kennedy DW. Balloon Sinuplasty: not ready for prime time. Ann Otol Rhinol Laryngol 2006;115(10):789–790; discussion 791–792.PubMedGoogle Scholar
  43. 43.
    Armstrong M. Office-based procedures in rhinosinusitis. Otolaryngol Clin N Am 2005;38(6):1327–1338.CrossRefGoogle Scholar
  44. 44.
    Krouse JH, Christmas DA. Powered nasal polypectomy in the office setting. Ear Nose Throat J 1996;75(9):608–610.PubMedGoogle Scholar
  45. 45.
    Alobid I, Benitez P, Pujols L, et al. Severe nasal polyposis and its impact on quality of life. The effect of a short course of oral steroids followed by long-term intranasal steroid treatment. Rhinology 2006;44(1):8–13.PubMedGoogle Scholar
  46. 46.
    Stjarne P, Blomgren K, Caye-Thomasen P, et al. The efficacy and safety of once-daily mometasone furoate nasal spray in nasal polyposis: a randomized, double-blind, placebo-controlled study. Acta Otolaryngol. 2006;126(6):606–612.PubMedCrossRefGoogle Scholar
  47. 47.
    Small CB, Hernandez J, Reyes A, et al. Efficacy and safety of mometasone furoate nasal spray in nasal polyposis. J Allergy Clin Immunol 2005;116(6):1275–1281.PubMedCrossRefGoogle Scholar
  48. 48.
    Becker SS, Rasamny JK, Han JK, et al. Steroid injection for sinonasal polyps: the University of Virginia experience. Am J Rhinol 2007;21(1):64–69.PubMedCrossRefGoogle Scholar
  49. 49.
    Don DM, Yellon RF, Casselbrant ML, et al. Efficacy of a stepwise protocol that includes intravenous antibiotic therapy for the management of chronic sinusitis in children and adolescents. Arch Otolaryngol Head Neck Surg 2001;127(9):1093–1098.PubMedGoogle Scholar
  50. 50.
    Mair EA, Bolger WE, Breisch EA. Sinus and facial growth after pediatric endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg 1995;121(5):547–552.PubMedCrossRefGoogle Scholar
  51. 51.
    Ungkanont K, Damrongsak S. Effect of adenoidectomy in children with complex problems of rhinosinusitis and associated diseases. Int J Pediatr Otorhinolaryngol 2004;68(4):447–451.PubMedCrossRefGoogle Scholar
  52. 52.
    Ramadan HH. Adenoidectomy vs. endoscopic sinus surgery for the treatment of pediatric sinusitis. Arch Otolaryngol Head Neck Surg 1999;125(11):1208–1211.PubMedGoogle Scholar
  53. 53.
    Johnson LB, Elluru RG, Myer CM. Complications of adenotonsillectomy. Laryngoscope 2002;112(8 pt 2 suppl 100):35–36.PubMedCrossRefGoogle Scholar
  54. 54.
    Jaradeh SS, Smith TL, Torrico L, et al. Autonomic nervous system evaluation of patients with vasomotor rhinitis. Laryngoscope 2000;110(11):1828–1831.PubMedCrossRefGoogle Scholar
  55. 55.
    Golding-Wood PH. Observations on petrosal and Vidian neurectomy in chronic vasomotor rhinitis. J Laryngol Otol 1961;75:232–247.PubMedCrossRefGoogle Scholar
  56. 56.
    Robinson SR, Wormald PJ. Endoscopic Vidian neurectomy. Am J Rhinol 2006;20(2): 197–202.PubMedGoogle Scholar
  57. 57.
    Fernandes CM. Endoscopic transseptal Vidian neurectomy. J Laryngol Otol 1994;108(7): 569–573.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  1. 1.Resident, Department of Otorhinolaryngology, Head and Neck SurgeryThe University of PennsylvaniaPhiladelphiaUSA

Personalised recommendations