ABSTRACT
Balloon sinuplasty (BSP) is a newly developed catheter-based technique for dilating sinus ostia to improve sinus ventilation and drainage. BSP has been in clinical use since 2005, but there has been many debates and criticism between early movers and mainstream doctors. But, recently, many evidences strongly support its safety, efficacy, and growing popularity among patients and physicians. The objective of this clinical review is to present its theoretical background, technical considerations, and treatment outcomes. BSP will be an additional tool for treating sinusitis, either alone or with conventional sinus surgery technique.
Subject(s)
Humans , Drainage , Sinusitis , VentilationABSTRACT
BACKGROUND AND OBJECTIVES: Cone beam CT is a relatively new radiologic technique for head and neck imaging, and is widely used in dentistry to plan implant procedures. Compared to conventional CT, it has greater spatial resolution, a lower radiation dose (about 10% that of conventional CT), and lower cost. The objective of this study was to evaluate the utility of cone beam CT for endoscopic sinus surgery. SUBJECTS AND METHODS: A total of 50 patients were involved. Endoscopic sinus surgery was performed unilaterally under local anesthesia, so we used the half Lund-Mackay score to quantify preoperative CT findings. The intraoperative severity score was also determined, and the relationship between the preoperative Lund-Mackay score and intraoperative severity was assessed. The subjective level of operator satisfaction was scored on a ten-point visual analogue scale in terms of four items: overall satisfaction, disease extent of each sinus, identification of anatomic landmarks, and distinction of soft tissue characteristics. RESULTS: The preoperative half Lund-Mackay score was 5.26 and the intraoperative severity score was 5.02; these two scores were significantly correlated (p < 0.01). The level of overall operator satisfaction was relatively high (9.04/10). CONCLUSION: Cone beam CT is a useful imaging method for preoperative evaluation of endoscopic sinus surgery.
Subject(s)
Humans , Anatomic Landmarks , Anesthesia, Local , Cone-Beam Computed Tomography , Dentistry , Head , NeckABSTRACT
BACKGROUND AND PURPOSE: This purpose of this research is to study the prevalence of habitual snoring and the association between snoring and cephalo-anthropometric analysis in Korean population. MATERIAL AND METHOD: Four thousand and two hundred twenty four subjects (male: 2277, female: 1947), aged between 18~85 (mean age male: 45.3, female: 44.0), were recruited through home visits and interviewed by well-trained investigators. RESULTS: Three hundred fifty two male subjects (15.5%) and one hundred sixty two female subjects (8.32%) exhibited habitual snoring. Age, weight, and body mass index (BMI) were significantly higher in the snoring group compared to those who dont snore habitually. Using a stepwise variable selection method of multiple logistic regression analysis, we found independent factors as being significant for males and females of the snoring groups. For males, the factors were BMI (p<0.001, OR=1.18 CI: 1.12~1.25), mandibular angle (p<0.001, OR=0.97 CI: 0.96~0.98), and abdominal girth (p<0.001, OR=1.04, CI: 1.02~1.06. For females, they were abdominal girth (p=0.031, OR=1.03, CI: 1.00~1.05), neck girth (p=0.003, OR=1.12, CI: 1.04~1.21), age (p=0.0002, OR=1.02 CI: 1.01~10.3), and BMI (p=0.0007, OR=1.11 CI: 1.05~1.18). CONCLUSION: We found that BMI, gonion angle and abdomen girth in male and abdominal girth, neck girth, age, BMI in female were the significant factors affecting the severity of snoring in Korean population.
Subject(s)
Adult , Female , Humans , Male , Abdomen , Body Mass Index , House Calls , Logistic Models , Neck , Prevalence , Research Personnel , Sleep Apnea Syndromes , SnoringABSTRACT
BACKGROUND AND OBJECTIVES: Many investigators had argued that aggressive surgical treatments such as medial maxillectomy with external or transantral ethmoidectomy are proper for inverted papilloma. However, lately, many investigators reported that more extended endoscopic surgery could be applied to the field of nasal disease. We evaluated the usefulness of endoscopic endonasal surgery for treatment and follow up of inverted papilloma. MATERIALS AND METHODS: Forty-one patients diagnosed with inverted papilloma in our clinic have undertaken endoscopic sinus surgery from 1992 through 1996. All the patients who were treated endoscopically have had their disease followed for a minimum of 1 year, with an average of 3 years. RESULTS: Six cases (14.6%) showed recurrence. Among them, 2 cases showed recurrence six times during the follow-up period, and endoscopic surgery was done each time until finally cured. There is no case related with malignant change in pathology. CONCLUSION: We conclude that endoscopic procedure is useful for preoperative examination, postoperative recurrence follow-up and treatment of both limited and recurrent inverted papilloma.