Journal Reviews

Earlier intervention to correct anosmia?

3 March 2021 | | Rhinology / Sinus | Chronic rhinosinusitis, T&T olfactometry, course of smell loss, functional endoscopic sinus surgery, predictive, receiver operative curve

This is an interesting study aimed to determine the timing for successful surgical intervention in improving the sense of smell in patients with chronic rhinosinusitis with nasal polyps (CRSwNP). A total of 86 CRSwNP patients with loss of smell and...

Balloons – more complicated than first thought?

1 March 2019 | | Rhinology / Sinus, Skull Base Surgery | balloon sinuplasty, cerebrospinal fluid leak, chronic rhinosinusitis, endoscopic sinus surgery, functional endoscopic sinus surgery, pneumocephalus, sinus surgery, sinusitis

This study describes the complications seen after balloon sinuplasty (BSP) - a commonly performed procedure (particularly in the USA where it is often performed as an office procedure) versus traditional functional endoscopic sinus surgery (FESS). The data source was a...

A novel way to reduce postoperative nausea and vomiting

1 January 2019 | | complications, functional endoscopic sinus surgery, incidence, lidocaine, nausea, sphenopalatine ganglion block, vomiting

This is an interesting RCT which evaluates the prophylactic effect of bilateral endoscopic injection of local anaesthetic in the sphenopalatine ganglion (SPG) on postoperative nausea and vomiting (PONV). It has a robust design, and is sufficiently powered and blinded, with...

The effect of cocaine or adrenaline dressing during endoscopic sinus surgery

1 January 2015 | | Rhinology / Sinus | FESS, chronic rhinosinusitis, functional endoscopic sinus surgery, intraoperative bleeding, surgical field, vasoconstriction

A randomised controlled study of 37 patients took place that underwent endoscopic sinus surgery for chronic rhinosinusitis and received adrenaline or cocaine-soaked patties. The study showed no difference in the mean surgical field scores between adrenaline and cocaine sides. Adequate...