How deep is the inflammation in chronic rhinosinusitis? Sinus wall thickness and blood eosinophilia
Journal
Rhinology
Journal Volume
56
Journal Issue
1
Pages
46-53
Date Issued
2018
Author(s)
Abstract
Various factors have been proposed to be related to refractory chronic rhinosinusitis (CRS). Treatment for refractory CRS is challenging for ear, nose, and throat (ENT) surgeons. The aim of the study was to determine the clinical features associated with the severity of CRS that may necessitate revision surgery by eliminating the bias of the surgeon’s tchnique using standardizing surgical procedures. Sinus wall thickness and blood eosinophilia, which may represent the depth of inflammation in CRS, are associated with the need for revision surgery. We found that, when the thickness of the postero-lateral maxillary sinus wall is more than 3.03 mm, there is an increased probability for a need for revision surgery. CRS patients with thickened sinus walls were found to have poorer outcomes. Further research is needed in order to justify this type of surgical procedure for CRS. ? 2018, International Rhinologic Society. All rights reserved.
Subjects
Chronic rhinosinusitis; Eosinophilia; Inflammation; Osteitis; Refractory
SDGs
Other Subjects
chronic disease; complication; diagnostic imaging; eosinophilia; female; human; inflammation; male; maxillary sinus; middle aged; pathology; patient selection; recurrent disease; rhinitis; sinusitis; treatment outcome; x-ray computed tomography; Chronic Disease; Eosinophilia; Female; Humans; Inflammation; Male; Maxillary Sinus; Middle Aged; Patient Selection; Recurrence; Rhinitis; Sinusitis; Tomography, X-Ray Computed; Treatment Outcome
Publisher
International Rhinologic Society
Type
journal article