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Office-Based Treatment and Management of the Frontal Sinus

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The Frontal Sinus

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Abstract

With changes in the health care system imminent, office-based procedures offer multiple benefits, including a decrease in health care costs to the patient and the healthcare system. Office procedures can provide successful results with high patient satisfaction ratings. This chapter discusses patient and disease selection in managing different frontal sinus problems in the office including sinusitis, nasal polyposis, mucoceles, and stenosis. The principles and technique for anesthesia and different office technologies including the microdebrider and balloon dilation are discussed. Surveillance and post-surgical medical management of frontal sinus disease is also reviewed. This chapter is meant for all otolaryngologists who want to understand the principles for office-based management of the frontal sinus. It is also meant for novice or seasoned physicians who wish to improve their office-based skills in frontal sinus procedures.

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References

  1. Wise SK, DelGaudio JM. Cost analysis of office-based and operating room procedures in rhinology. Int Forum Allergy Rhinol. 2012;2(3):207–11.

    Google Scholar 

  2. Bent J, Cuilty-Siller C, Kuhn F. The frontal cell as a cause of frontal sinus obstruction. Am J Rhinol. 1994;8:185–91.

    Article  Google Scholar 

  3. Wise SK, Patel ZM. Chapter 5: patient selection and informed consent for office-based rhinology procedures. In: Patel Z, Wise SK, DelGaudio JM, editors. Office-based rhinology principles and techniques. 1st ed. San Diego: Plural Publishing; 2013.

    Google Scholar 

  4. Radvansky BM, Husain Q, Cherla DV, Choudhry OJ, Eloy JA. In-office vasovagal response after rhinologic manipulation. Int Forum Allergy Rhinol. 2013;3:510–14.

    Google Scholar 

  5. Snidvongs K, Harvey RJ. Chapter 6: nasal and sinus anesthesia for office procedures. In: Patel Z, Wise SK, DelGaudio JM, editors. Office-based rhinology principles and techniques. 1st ed. San Diego: Plural Publishing; 2013.

    Google Scholar 

  6. Scangas GA, Gudis DA, Kennedy DW. The natural history and clinical characteristics of paranasal sinus mucoceles: a clinical review. Int Forum Allergy Rhinol. 2013;3:712–7.

    Article  PubMed  Google Scholar 

  7. Laury A, DelGaudio JM. Chapter 12: office-based management of mucoceles. In: Patel Z, Wise SK, DelGaudio JM, editors. Office-based rhinology principles and techniques. 1st ed. San Diego: Plural Publishing; 2013.

    Google Scholar 

  8. Barrow EM, DelGaudio JM. In-office drainage of sinus mucoceles: an alternative to or drainage. Laryngoscope. 2015;125(5):1043–7. PMID 25418415.

    Google Scholar 

  9. DeMarcantonio MA, Han JK. Nasal polyps: pathogenesis and treatment implications. Otolaryngol Clin N Am. 2011;44(3):685–95, ix.

    Article  Google Scholar 

  10. Poetker DM, Jakubowski LA, Lal D, Hwang PH, Wright ED, Smith TL. Oral corticosteroids in the management of adult chronic rhinosinusitis with and without nasal polyps: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2013;3(2):104–20.

    Article  PubMed  Google Scholar 

  11. Poetker DM, Smith TL. What rhinologists and allergists should know about the medico-legal implications of corticosteroid use: a review of the literature. Int Forum Allergy Rhinol. 2012;2(2):95–103.

    Article  PubMed  Google Scholar 

  12. Henriquez OA, DelGaudio JM. Chapter 11: office-based nasal polypectomy. In: Patel Z, Wise SK, DelGaudio JM, editors. Office-based rhinology principles and techniques. 1st ed. San Diego: Plural Publishing; 2013.

    Google Scholar 

  13. Ko MT, Chuang KC, Su CY. Multiple analyses of factors related to intraoperative blood loss and the role of reverse Trendelenburg position in endoscopic sinus surgery. Laryngoscope. 2008;118(9):1687–91.

    Article  PubMed  Google Scholar 

  14. Batra PS, Ryan MW, Sindwani R, Marple BF. Balloon catheter technology in rhinology: reviewing the evidence. Laryngoscope. 2011;121(1):226–32.

    Article  PubMed  Google Scholar 

  15. Kim E, Cutler JL. Balloon dilatation of the paranasal sinuses: a tool in sinus surgery. Otolaryngol Clin N Am. 2009;42(5):847–56, x.

    Article  Google Scholar 

  16. Batra PS. Evidence-based practice: balloon catheter dilation in rhinology. Otolaryngol Clin N Am. 2012;45(5):993–1004.

    Article  Google Scholar 

  17. Bolger WE, Brown CL, Church CA, Goldberg AN, Karanfilov B, Kuhn FA, Levine HL, Sillers MJ, Vaughan WC, Weiss RL. Safety and outcomes of balloon catheter sinusotomy: a multicenter 24-week analysis in 115 patients. Otolaryngol Head Neck Surg. 2007;137(1):10–20.

    Article  PubMed  Google Scholar 

  18. Kuhn FA, Church CA, Goldberg AN, Levine HL, Sillers MJ, Vaughan WC, Weiss RL. Balloon catheter sinusotomy: one-year follow-up – outcomes and role in functional endoscopic sinus surgery. Otolaryngol Head Neck Surg. 2008;139(3 Suppl 3):S27–37.

    Article  PubMed  Google Scholar 

  19. Weiss RL, Church CA, Kuhn FA, Levine HL, Sillers MJ, Vaughan WC. Long-term outcome analysis of balloon catheter sinusotomy: two-year follow-up. Otolaryngol Head Neck Surg. 2008;139(3 Suppl 3):S38–46.

    Article  PubMed  Google Scholar 

  20. Plaza G, Eisenberg G, Montojo J, Onrubia T, Urbasos M, O’Connor C. Balloon dilation of the frontal recess: a randomized clinical trial. Ann Otol Rhinol Laryngol. 2011;120(8):511–8.

    Article  PubMed  Google Scholar 

  21. Albritton FD, Casiano RR, Sillers MJ. Feasibility of in-office endoscopic sinus surgery with balloon sinus dilation. Am J Rhinol Allergy. 2012;26(3):243–8.

    PubMed  PubMed Central  Google Scholar 

  22. Karanfilov B, Silvers S, Pasha R, Sikand A, Shikani A, Sillers M. Office-based balloon sinus dilation: a prospective, multicenter study of 203 patients. Int Forum Allergy Rhinol. 2013;3(5):404–11.

    Article  PubMed  Google Scholar 

  23. Sillers MJ, Melroy CT. In-office functional endoscopic sinus surgery for chronic rhinosinusitis utilizing balloon catheter dilation technology. Curr Opin Otolaryngol Head Neck Surg. 2013;21(1):17–22.

    Article  PubMed  Google Scholar 

  24. Rudmik L, Schlosser RJ, Smith TL, Soler ZM. Impact of topical nasal steroid therapy on symptoms of nasal polyposis: a meta-analysis. Laryngoscope. 2012;122(7):1431–7.

    Article  CAS  PubMed  Google Scholar 

  25. Harvey R, Hannan SA, Badia L, Scadding G. Nasal saline irrigations for the symptoms of chronic rhinosinusitis. Cochrane Database Syst Rev. 2007(3):CD006394.

    Google Scholar 

  26. Rudmik L, Hoy M, Schlosser RJ, Harvey RJ, Welch KC, Lund V, Smith TL. Topical therapies in the management of chronic rhinosinusitis: an evidence-based review with recommendations. Int Forum Allergy Rhinol. 2013;3(4):281–98.

    Article  PubMed  Google Scholar 

  27. Jorissen M, Bachert C. Effect of corticosteroids on wound healing after endoscopic sinus surgery. Rhinology. 2009;47(3):280–6.

    CAS  PubMed  Google Scholar 

  28. Stjarne P, Olsson P, Alenius M. Use of mometasone furoate to prevent polyp relapse after endoscopic sinus surgery. Arch Otolaryngol Head Neck Surg. 2009;135(3):296–302.

    Article  PubMed  Google Scholar 

  29. Kalish L, Snidvongs K, Sivasubramaniam R, Cope D, Harvey RJ. Topical steroids for nasal polyps. Cochrane Database Syst Rev. 2012;12, CD006549.

    PubMed  Google Scholar 

  30. DelGaudio JM, Wise SK. Topical steroid drops for the treatment of sinus ostia stenosis in the postoperative period. Am J Rhinol. 2006;20(6):563–7.

    Article  PubMed  Google Scholar 

  31. Harvey RJ, Debnath N, Srubiski A, Bleier B, Schlosser RJ. Fluid residuals and drug exposure in nasal irrigation. Otolaryngol Head Neck Surg. 2009;141(6):757–61.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Otolaryngology, The Emory Sinus, Nasal and Allergy Center, The Emory Clinic, Emory University, 550 Peachtree St. NE, Medical Office Towers, 11th Floor, Atlanta, GA, 30308, USA

    Praveen Duggal MD & John M. DelGaudio MD

Authors
  1. Praveen Duggal MD
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  2. John M. DelGaudio MD
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Corresponding author

Correspondence to John M. DelGaudio MD .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology - Head and Neck Surgery, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Stilianos E. Kountakis

  2. Chapel Hill, North Carolina, USA

    Brent A. Senior

  3. Fulda, Hessen, Germany

    Wolfgang Draf

Electronic Supplementary Material

Video 21.1

In-Office Drainage of Superficial Frontal Mucocele (MOV 113157 kb)

Video 21.2

In-Office Drainage of Deep Frontal Mucocele (MOV 334231 kb)

Video 21.3

In-Office Frontal Sinus Outflow Tract Polypectomy (MOV 95383 kb)

Video 21.4

In-Office Frontal Sinus Outflow Tract Balloon Dilation for Post-Operative Stenosis (MOV 86397 kb)

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© 2016 Springer-Verlag Berlin Heidelberg

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Duggal, P., DelGaudio, J.M. (2016). Office-Based Treatment and Management of the Frontal Sinus. In: Kountakis, S., Senior, B., Draf, W. (eds) The Frontal Sinus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48523-1_21

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  • DOI: https://doi.org/10.1007/978-3-662-48523-1_21

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48521-7

  • Online ISBN: 978-3-662-48523-1

  • eBook Packages: MedicineMedicine (R0)

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