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Full-Text Articles in Medicine and Health Sciences
Efficacy Of Different Techniques Of Sinonasal Irrigation After Modified Lothrop Procedure., A Beule, T Athanasiadis, E Athanasiadis, J Field, Peter-John Wormald
Efficacy Of Different Techniques Of Sinonasal Irrigation After Modified Lothrop Procedure., A Beule, T Athanasiadis, E Athanasiadis, J Field, Peter-John Wormald
Peter-John Wormald
Background: Post-operative irrigation after endoscopic sinus surgery and endoscopic Lothrop procedure is used to remove nasal crusts and to improve wound healing. To evaluate the optimal application protocol for irrigation of the frontal sinus, a prospective cadaver study was performed. Methods: An endoscopic modified Lothrop procedure and complete sphenoethmoidectomy were performed in 19 heads. Each was irrigated with a 1.5% solution of water and different colours using nasal spray and a squeeze bottle filles with 50, 100 and 200 mL. Intensity of local staining and percentage of area were documented using standardized videoendoscopy after irrigation in 'bending over the sink' …
Endoscopic Management Of Frontal Sinus Osteomas Revisited, K Seiberling, S Floreani, S Robinson, Peter-John Wormald
Endoscopic Management Of Frontal Sinus Osteomas Revisited, K Seiberling, S Floreani, S Robinson, Peter-John Wormald
Peter-John Wormald
Background: recent articles have published guidelines regarding the role of endoscopic surgery in the removal of frontal sinus osteomas. These guidelines recommend the endoscopic approach for small ostoemas but recommend an osteoplastic flap for larger tumors. This study presents a series of endoscopically resected tumors both large and small. Methods: retrospective chart reviews were performed. Charts were reviewed of all patients who underwent surgical resection of a frontal sinus osteoma from 1998 to 2008. Sinus CT scans were reviewed and each tumor was staged according to Kennedy's grading system proposed in 2005. Results: Twenty-three patients, 8 with a grade IV …
A Prospective Controlled Trial Of Pulsed Nasal Nebulizer In Maximally Dissected Cadavers., Rowan J. Valentine, Theo Athanasiadis, May Thwin, Deepti Singhal, Erik K. Weitzel, Peter-John Wormald
A Prospective Controlled Trial Of Pulsed Nasal Nebulizer In Maximally Dissected Cadavers., Rowan J. Valentine, Theo Athanasiadis, May Thwin, Deepti Singhal, Erik K. Weitzel, Peter-John Wormald
Peter-John Wormald
Background: Nasal douching is common practice in treatment of chronic sinusitis and after endoscopic sinus surgery. Current nasal delivery techniques show inconsistent sinus penetration. The aim of this study was to compare sinonasal penetration of nasal douching to an optimized nasal nebulizer in an operated cadaver model. Methods: Fourteen preserved cadavers were used receiving complete sphenoethmoidectomies with a Draf 111, wide maxillary antroslomy, or media maxillectomy. Seven control cadavers received nasal douching with one standardized squeeze bilaterally of a 200ml. nasal irrigation bottle and seven intervention cadavers were nebulized with 3 minutes of the PARI sinus device bilaterally. Douching solutions …