![]() During FESS, surgeons dissect and remove tissue and bone using standard surgical cutting tools (e.g., microdebriders, forceps, curettes). The most widely used surgical approach to treat patients with CRS is functional endoscopic sinus surgery (FESS), a transnasal technique that involves dissection of the involved sinuses to permit sinus drainage.3 Otolaryngologists perform FESS in an operating room or ambulatory care center with the patient under general anesthesia. National Survey of Ambulatory Surgery reported performance of 257,000 sinus procedures in 2006, the most recent year for which data are available.9 ![]() ![]() Initial treatment of CRS typically focuses on providing symptomatic relief with oral decongestants, saline lavage, mucolytics, expectorants, and allergy management.3 Physicians may also prescribe oral antibiotics, topical nasal steroid spray, systemic steroids, and topical antibiotics.1,2 Specialists may perform nasal endoscopy to culture the sinuses for appropriate antibiotic selection and to assess anatomic abnormalities that may predispose the patient to recurrent sinus infections.1 Also, a computed tomography (CT) scan can depict the sinus anatomy and show the extent of disease and degree of nasal-passage obstruction.1,2 Despite optimal medical therapy, an estimated 30% to 50% of patients with CRS fail to obtain sufficient symptom improvement.6-8 If individualized medical management fails and CT scanning or endoscopic examination detects an obstruction, physicians may recommend sinus surgery to relieve blocked sinuses, restore normal mucus flow, and optimize topical delivery of medications.1 The U.S. Allergic rhinitis can predispose patients to increased swelling of the sinus mucosa and exacerbate CRS.1,2 Some clinicians consider recurrent acute rhinosinusitis (RARS), defined as four or more episodes of acute bacterial rhinosinusitis in a year without signs or symptoms between episodes,4 to be a type of CRS.5 Generic names: balloon dilation sinuplasty, balloon sinuplasty, endoscopic balloon sinus ostial dilation, functional endoscopic balloon dilation, functional endoscopic dilatation sinus surgeryĬhronic rhinosinusitis (CRS) is a syndrome defined by inflammation of the nasal passages and paranasal sinuses that persists for 12 weeks or longer.1 Patients with CRS often report nasal congestion/obstruction, nasal drainage, facial pain or pressure, a reduced sense of smell, and headache.1-3 Clinical signs include mucosal erythema, purulent nasal secretions, and nasal polyps.1 Inflammation of the nasal passages and paranasal sinuses can be exacerbated by viral, bacterial, or fungal pathogens.1,2 Frequently, a viral upper respiratory infection precedes subsequent bacterial colonization of the sinuses. Proprietary names: Acclarent Relieva FLEX® Sinus Guide Catheter, Acclarent® Balloon Inflation Device, Entellus FinESS™ Endoscope, Entellus FinESS Sinus Treatment Kit, Entellus XprESS ™ Pro Multi-Sinus Dilation System, Lenio®flex System for Sinus Ostia Dilation, Medtronic NuVent™ EM Balloon Sinus Dilation System, Medtronic Fusion® ENT Navigation System, Relieva Luma Sentry™ Sinus Illumination System and Accessories, Relieva SCOUT™ Sinus Dilation System, Relieva Seeker® Balloon Sinuplasty System, Relieva SIDEKICK™ Low Profile Handles, Relieva SIDEKICK Sinus Guide Catheter Handles, Relieva Solo Pro™ Sinus Balloon Catheter, Sinus Balloon Catheter, Relieva Solo™ Sinus Balloon Catheter, Relieva Ultirra™ Sinus Balloon Catheter, Relieva VIGOR® Sinus Guidewire, Relieva VORTEX® 2 Sinus Irrigation Catheter, Relieva® Spin Balloon Sinuplasty System, SinuSys AerOs™ Sinus Dilation System, SinuSys Vent-Os™ Sinus Dilation System, VENTERA® Sinus Dilation System, XprESS™ LoProfile Multi-Sinus Dilation System, XprESS Ultra Multi-Sinus Dilation System
0 Comments
Leave a Reply. |