PMID- 23794185
OWN - NLM
STAT- MEDLINE
DCOM- 20140325
LR  - 20161128
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 123
IP  - 12
DP  - 2013 Dec
TI  - Canine fossa puncture for severe maxillary disease in unilateral chronic 
      sinusitis with nasal polyp.
PG  - E79-84
LID - 10.1002/lary.24274 [doi]
AB  - OBJECTIVES/HYPOTHESIS: To evaluate the efficacy of canine fossa puncture (CFP) by 
      comparing patients with unilateral chronic rhinosinusitis (CRS) accompanying 
      nasal polyposis (NP) who underwent CFP with those who underwent maxillary sinus 
      clearance through a middle meatal antrostomy (MMA). STUDY DESIGN: Prospective 
      randomized study. METHODS: Twenty-nine patients were randomly assigned to the CFP 
      and MMA groups. Preoperative computed tomography (CT) established that all 
      patients had severely diseased maxillary sinuses. Subjective outcomes were 
      evaluated preoperatively and at 3, 6, and 12 months postoperatively using the 
      Sino-Nasal Outcome Test 20 (SNOT-20) and a visual analogue scale (VAS). 
      Additionally, mucosal thickening was measured as a percentage of total maxillary 
      sinus volume on CT images taken 12 months postoperatively. RESULTS: Twenty-five 
      patients who completed the follow-up, questionnaires, and postoperative CT 
      evaluation were included in the analysis. SNOT-20 and VAS scores improved 
      significantly at 3, 6, and 12 months postprocedure in both groups. However, 
      significant improvement of SNOT-20 at 12 months and VAS scores for purulent 
      discharge, foul odor, and postnasal drip at 6 and 12 months were observed in the 
      CFP group compared with the MMA group. In addition, the volume of mucosal 
      thickening was significantly greater in the MMA group than in the CFP group on 
      postoperative CT images. CONCLUSIONS: CFP is a useful method for the removal of 
      severe maxillary mucosal disease that cannot be reached through MMA, and is 
      superior to conventional MMA for improving subjective and objective outcomes in 
      patients with unilateral CRS accompanying NP.
CI  - Copyright (c) 2013 The American Laryngological, Rhinological and Otological 
      Society, Inc.
FAU - Byun, Jang Yul
AU  - Byun JY
AD  - Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University 
      College of Medicine, Bucheon Hospital, Bucheon, South Korea.
FAU - Lee, Jae Yong
AU  - Lee JY
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20130709
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Endoscopy
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Maxillary Sinus/diagnostic imaging/pathology/*surgery
MH  - Maxillary Sinusitis/complications/diagnosis/*surgery
MH  - Middle Aged
MH  - Nasal Polyps/*complications/diagnosis/surgery
MH  - Prospective Studies
MH  - Punctures/*methods
MH  - Surveys and Questionnaires
MH  - Tomography, X-Ray Computed
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Sino-Nasal Outcome Test 20
OT  - Unilateral chronic rhinosinusitis
OT  - canine fossa puncture
OT  - computed tomography
OT  - maxillary sinus
OT  - middle meatal antrostomy
OT  - nasal polyposis
OT  - visual analogue scale
EDAT- 2013/06/25 06:00
MHDA- 2014/03/26 06:00
CRDT- 2013/06/25 06:00
PHST- 2013/05/30 00:00 [revised]
PHST- 2013/05/30 00:00 [accepted]
PHST- 2013/06/25 06:00 [entrez]
PHST- 2013/06/25 06:00 [pubmed]
PHST- 2014/03/26 06:00 [medline]
AID - 10.1002/lary.24274 [doi]
PST - ppublish
SO  - Laryngoscope. 2013 Dec;123(12):E79-84. doi: 10.1002/lary.24274. Epub 2013 Jul 9.