Application of endoscopic sinus surgery to primary atrophic rhinitis? A clinical trial

Sheen-Yie Fang, Ying Tai Jin

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)

Abstract

The aetiology of primary atrophic rhinitis (AR) is still unclean Based on the sinus infection theories, endoscopic sinus surgery (ESS) was applied to treat AR. ESS was performed on 14 patient following Stammberger's techniques along with middle turbinectomy. Patients were evaluated using clinical symptoms, radiological sinus images, saccharine time tests, bacterial cultures and mucosal ultrastructures, before and 2 years after ESS. Three patients had good recoveries, 6 had partial recoveries and another 5 had persistent disease Good recovery patients showed clear nasal cavities and mucociliary transport system normalisation. Patients possess in meagre infectious signs or crusting extending to their nasopharynx had poor outcomes. Patients with evidence of obvious infections (cloudy sinus images, mucopus presence in the sinuses and positive culture for Klebsiella ozaenae) had good recoveries following ESS. Candidate selection is critical for the success of ESS treatment in AR. Although further clinical trials are required to prove this strategy.

Original languageEnglish
Pages (from-to)122-127
Number of pages6
JournalRhinology
Volume36
Issue number3
Publication statusPublished - 1998 Sep 1

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

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