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European Archives of Oto-Rhino-Laryngology

Published in:

01-07-2018 | Rhinology

Impact of residual frontal recess cells on frontal sinusitis after endoscopic sinus surgery

Authors: Tsuguhisa Nakayama, Daiya Asaka, Akihito Kuboki, Tetsushi Okushi, Hiromi Kojima

Published in: European Archives of Oto-Rhino-Laryngology | Issue 7/2018

Abstract

Purpose

Endoscopic sinus surgery (ESS) is a well-established treatment for chronic rhinosinusitis (CRS). However, ESS for frontal sinusitis remains complicated and challenging. The aim of this study was to identify the relationship between residual frontal recess cells and primary ESS failure in the frontal sinus.

Methods

We prospectively collected information on 214 sides of 129 patients with CRS who underwent standard ESS from June 2010 to May 2011. To identify risk factors, we retrospectively analyzed clinical data and computed tomography (CT) images before and 3 months after surgery.

Results

The posterior side of the frontal recess cells remained relatively common: suprabullar cells (SBCs) were found in 12.2% (16 sides), suprabullar frontal cells (SBFCs) in 20.3% (12 sides), and supraorbital ethmoid cells in 23.7% (14 sides). In contrast, the anterior side of the frontal recess cells, agger nasi cells, supra agger cells, and supra agger frontal cells remained at < 10.0%. Frontal septal cells persisted in 25.0% (5 sides). The presence of residual frontal recess cells was an independent risk factor for postoperative frontal sinus opacification as were well-recognized risk factors such as nasal polyps, the peripheral eosinophil count, and the CT score. Among residual frontal recess cells, SBCs and SBFCs were independent risk factors for opacification.

Conclusions

Residual frontal recess cells, especially SBCs and SBFCs, were independent risk factors for postoperative opacification of the frontal sinus. Complete surgical excision of frontal recess cells may improve surgical outcomes.

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Title: Impact of residual frontal recess cells on frontal sinusitis after endoscopic sinus surgery
Authors: Tsuguhisa Nakayama
Daiya Asaka
Akihito Kuboki
Tetsushi Okushi
Hiromi Kojima
Publication date: 01-07-2018
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 7/2018
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5003-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Impact of residual frontal recess cells on frontal sinusitis after endoscopic sinus surgery

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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