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Objective assessment of endoscopic sinus surgery in the management of chronic rhinosinusitis: an update

Published online by Cambridge University Press:  29 June 2007

Valerie J. Lund  and
Glenis K. Scadding
Valerie J. Lund*
Affiliation:
Rhinology Research Clinic, Institute of Laryngology and Otology, London.
Glenis K. Scadding
Affiliation:
Royal National Throat, Nose and Ear Hospital, London.
*
Miss Valerie J. Lund, M.S., F.R.C.S., F.R.C.S.Ed., Reader in Rhinology, Professorial Unit, Royal National Throat, Nose and Ear Hospital, 330/332 Gray's Inn Road, London WC1X 8DA.
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Abstract

Whilst clinical success of endoscopic surgery for chronic rhinosinusitis has necessarily depended primarily upon subjective evaluation, a range of objective techniques are now available which may facilitate our interpretation of results. A group of 200 patients underwent assessment of symptoms by sequential visual analogue scoring, olfaction by qualitative and quantitative testing, nasal airflow by forced inspiratory peak flow, anterior rhinomanometry, nasomucociliary function by ciliary beat frequency and nasal topography by acoustic rhinometry performed pre- and post-operatively. Significant improvement was demonstrated in all symptoms examined, olfactory tests and ciliary beat frequency whilst acoustic rhinometry provided an attempt to quantify the surgical cavities. These results offer an interesting perspective on the pathology of rhinosinusitis and the rationale for surgery within the ostiomeatal complex.

Keywords

Surgeryendoscopic sinusResultsobjective
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 9 , September 1994 , pp. 749 - 753
Copyright
Copyright © JLO (1984) Limited 1994

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