Office Procedures in Refractory Chronic Rhinosinusitis

Andrew Thamboo; Zara M Patel

doi:10.1016/j.otc.2016.08.010

Office Procedures in Refractory Chronic Rhinosinusitis

Otolaryngol Clin North Am. 2017 Feb;50(1):113-128. doi: 10.1016/j.otc.2016.08.010.

Authors

Andrew Thamboo¹, Zara M Patel²

Affiliations

¹ Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305-5739, USA.
² Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305-5739, USA. Electronic address: zmpatel@stanford.edu.

PMID: 27888908
DOI: 10.1016/j.otc.2016.08.010

Abstract

Office procedures in chronic rhinosinusitis (CRS) can be considered before and after medical management, as well as before and after surgical management. This article focuses specifically on refractory CRS, meaning those patients who have failed medical and surgical management already. The options available in the management of refractory CRS depend on the personnel, equipment, and instrumentation available in the office setting; surgeon experience; and patient suitability and tolerability. This article provides readers with possible procedural options that can be done in their clinics with indications, patient selection, potential complications, and postoperative considerations.

Keywords: Office procedures for rhinosinusitis; Office procedures for sinusitis; Office sinus surgery; Office-based rhinology; Office-based sinus surgery.

Publication types

Review

MeSH terms

Chronic Disease
Disease Management
Disease Progression
Humans
Patient Selection
Rhinitis* / diagnosis
Rhinitis* / physiopathology
Rhinitis* / therapy
Sinusitis* / diagnosis
Sinusitis* / physiopathology
Sinusitis* / therapy
Treatment Outcome