Outcomes of chronic frontal sinusitis treated with ethmoidectomy: a prospective study

International Forum of Allergy & Rhinology
Waleed M AbuzeidPeter H Hwang

Abstract

In medically refractory chronic frontal sinusitis, ethmoidectomy without instrumentation of the frontal ostium may resolve frontal disease. Our aim was to determine the efficacy of ethmoidectomy alone for the treatment of chronic frontal sinusitis. Adults with chronic rhinosinusitis prospectively enrolled in a multicenter study who demonstrated frontal sinusitis on computed tomography were divided into 2 groups: (1) endoscopic sinus surgery (ESS) incorporating ethmoidectomy, but excluding frontal sinusotomy; and (2) ESS incorporating frontal sinusotomy. The primary outcome was improvement in 22-item Sino-Nasal Outcome Test (SNOT-22) scores. Secondary outcomes included endoscopic scores and use of corticosteroids and antibiotics. A total of 196 cases undergoing frontal sinusotomy and 30 cases treated with ethmoidectomy without frontal sinusotomy were analyzed and were comparable demographically. The prevalence of nasal polyps, previous ESS, asthma, and aspirin intolerance was more common in the frontal sinusotomy group (p < 0.050). Preoperative endoscopy and computed tomography scores were higher in the frontal sinusotomy group (p ≤ 0.001). Postoperatively, both groups showed comparable SNOT-22 scores with worse endoscopy scores...Continue Reading

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Citations

May 2, 2018·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Phong T LeRodney J Schlosser
Feb 9, 2018·The Laryngoscope·Christian P Soneru, Jayant M Pinto
Nov 23, 2017·The Laryngoscope·Zachary M SolerRodney J Schlosser
Mar 20, 2019·Medical Sciences : Open Access Journal·Kevin L LiWaleed M Abuzeid
Nov 26, 2020·International Forum of Allergy & Rhinology·Richard R OrlandiBing Zhou
Apr 7, 2021·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Ralph HaddadWalid Abou Hamad

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