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Endoscopic sinus surgery in the management of nasal obstruction.
Otolaryngol Clin North Am. 2009 Apr; 42(2):227-40, vii.OC

Abstract

Nasal obstruction is the leading symptom observed among patients who have chronic rhinosinusitis (CRS) with or without nasal polyposis. After failure of medical therapy, functional endoscopic sinus surgery (FESS) has emerged as the preferred treatment of CRS. Interestingly, although patient-reported outcomes show unequivocal relief of nasal obstruction after FESS, studies measuring nasal airflow and resistance demonstrate more modest improvements. This article provides an overview of the physiology of nasal airflow sensation, the burden of nasal obstruction in patients who have CRS, and the efficacy of FESS in addressing nasal obstruction in this population. Additionally, advances in airflow modeling that may enable improved preoperative planning for the relief of nasal obstruction after FESS are discussed.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Tan BK
Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA.
Lane AP
No affiliation info available

MeSH

AdultChildChronic DiseaseEndoscopyHumansNasal ObstructionNasal PolypsParanasal SinusesPulmonary VentilationSinusitis

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

19328888

Citation

Tan, Bruce K., and Andrew P. Lane. "Endoscopic Sinus Surgery in the Management of Nasal Obstruction." Otolaryngologic Clinics of North America, vol. 42, no. 2, 2009, pp. 227-40, vii.
Tan BK, Lane AP. Endoscopic sinus surgery in the management of nasal obstruction. Otolaryngol Clin North Am. 2009;42(2):227-40, vii.
Tan, B. K., & Lane, A. P. (2009). Endoscopic sinus surgery in the management of nasal obstruction. Otolaryngologic Clinics of North America, 42(2), 227-40, vii. https://doi.org/10.1016/j.otc.2009.01.012
Tan BK, Lane AP. Endoscopic Sinus Surgery in the Management of Nasal Obstruction. Otolaryngol Clin North Am. 2009;42(2):227-40, vii. PubMed PMID: 19328888.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic sinus surgery in the management of nasal obstruction. AU - Tan,Bruce K, AU - Lane,Andrew P, PY - 2009/3/31/entrez PY - 2009/3/31/pubmed PY - 2009/7/29/medline SP - 227-40, vii JF - Otolaryngologic clinics of North America JO - Otolaryngol Clin North Am VL - 42 IS - 2 N2 - Nasal obstruction is the leading symptom observed among patients who have chronic rhinosinusitis (CRS) with or without nasal polyposis. After failure of medical therapy, functional endoscopic sinus surgery (FESS) has emerged as the preferred treatment of CRS. Interestingly, although patient-reported outcomes show unequivocal relief of nasal obstruction after FESS, studies measuring nasal airflow and resistance demonstrate more modest improvements. This article provides an overview of the physiology of nasal airflow sensation, the burden of nasal obstruction in patients who have CRS, and the efficacy of FESS in addressing nasal obstruction in this population. Additionally, advances in airflow modeling that may enable improved preoperative planning for the relief of nasal obstruction after FESS are discussed. SN - 1557-8259 UR - https://www.unboundmedicine.com/medline/citation/19328888/Endoscopic_sinus_surgery_in_the_management_of_nasal_obstruction_ DB - PRIME DP - Unbound Medicine ER -