Abstract:
INTRODUCTION:Though clear indications for its clinical application are not established yet, balloon sinuplasty technology per se is considered safe and very few severe complications have been mentioned in literature as of today. CASE REPORT:We report the case of a 36-year-old female patient who presented with right sided rhinorrhea from a CSF-leak in the ethmoidal roof after balloon sinuplasty, aimed at her right frontal sinus. Apparently, the surgeon was unaware of having penetrated the skull base through the lateral lamella of the cribriform plate intraoperatively. CSF rhinorrhea became evident 3 weeks postoperatively only when fever, headaches and moderate nausea developed. Upon revision, diameter, size and shape of the bony defect exactly matched with the tip of a standard sinus balloon catheter device, as could be demonstrated and documented. A small posttraumatic encephalocele had intermittently blocked the leak. Endoscopic surgery and duraplasty were performed under intrathecal fluorescein control, applying CT image-guided navigation. Since two-layer fascia lata closure of the defect, the patient has remained free of symptoms without any evidence of CSF leakage. CONCLUSION:Balloon sinuplasty per se is considered a safe technique, though in inexperienced hands or wrongly applied, complications may occur, as with any surgical tool rigid enough to breach through skull base.
journal_name
Rhinologyjournal_title
Rhinologyauthors
Tomazic PV,Stammberger H,Koele W,Gerstenberger Cdoi
10.4193/Rhin09.129subject
Has Abstractpub_date
2010-06-01 00:00:00pages
247-50issue
2eissn
0300-0729issn
1996-8604pii
09.129journal_volume
48pub_type
杂志文章相关文献
RHINOLOGY文献大全abstract::Non-specific biopsy results such as chronic inflammation, hemorrhage, necrosis can be frustrating to the clinician. This is especially true if the patient presents with clinical features suggestive of an aggressive tumour. This is a review of the clinical features, diagnostic dilemmas and surgical management of a beni...
journal_title:Rhinology
pub_type: 杂志文章,评审
doi:10.4193/Rhin09.046
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Staphylococcus aureus is a frequently implicated pathogen in chronic rhinosinusitis (CRS). S. aureus may promote commensalism by downregulating pro-inflammatory T cell host responses via an IL-10 mediated pathway. This finding, coupled with the observation that S. aureus and CD8+ T cell numbers are inversely...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin16.199
更新日期:2017-09-01 00:00:00
abstract::Septal perforations 4 mm or less in diameter have been successfully closed in eight out of ten patients with interposition of fascia temporalis. Larger perforations could, however, not be closed with this technique. Silicone buttons were helpful in half of the patients with perforations 5-20 mm. In larger ones they we...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1989-03-01 00:00:00
abstract:PURPOSE:The aim of this study is to evaluate the outcome of patients with maxillary sinus carcinoma after radiotherapy regarding local control, prognostic factors and morbidity of treatment. MATERIALS AND METHODS:Between January 1983 and December 1996, 79 cases of maxillary sinus carcinoma without any evidence of dist...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2003-03-01 00:00:00
abstract::The results of a septoplasty because of a nasal obstruction were studied in 261 children, their ages ranging from 4 to 14. No arrest of nasal growth after the septoplasty and osteotomies was recorded. Histological examination revealed a cartilaginous regeneration at the borders of the resected septal cartilage in 15 c...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1977-12-01 00:00:00
abstract:BACKGROUND:We aimed to compare the prevalence and risk factors of chronic rhinosinusitis (CRS) using two different diagnostic criteria with the same statistical data from the Korean National Health and Nutrition Examination Survey in 2009. METHODS:Symptom-based CRS was defined as CRS diagnosed by questionnaires relate...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin15.157
更新日期:2016-12-01 00:00:00
abstract:BACKGROUND:The information currently available concerning carbon nanotubes toxicity is disturbing and conflicting. Moreover, little is known about their effect on the nasal cavities, which are the first target for nanoparticles. MATERIAL AND METHOD:We investigated the cytotoxicity (50 to 0.5 microg/mL) of double-walle...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhino10.256
更新日期:2011-10-01 00:00:00
abstract::The nose is a three-walled pyramid separated into two nostrils by a midline septum. The septum has been shown to provide considerable support to the shape of the nose. Previously nasal trauma was thought to damage solely the anterior cartilaginous septum with sparing of the posterior bony septum. Cadaver nasal fractur...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1987-06-01 00:00:00
abstract:BACKGROUND:Nasal olfactory mucosa is an accessible source of olfactory ensheathing cells for spinal cord regeneration. However, safety of the biopsy technique and the effects on sense of smell and nasal function have not been robustly assessed in the form of a prospective controlled study. METHODOLOGY:National Health ...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin15.365
更新日期:2016-06-01 00:00:00
abstract:INTRODUCTION:Primary Ciliary Dyskinesia (PCD) describes a group of inherited disorders which result in functional ciliary defects leading to mucous stasis. Clinical manifestations include otitis media with effusion and chronic rhinosinusitis. Nasal polyposis has previously been thought to be linked to PCD, and current ...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract:STATEMENT OF PROBLEM:Surgery for nasal obstruction is performed to give a subjective benefit. We aimed to evaluate the surgical management of the nasal obstruction in the patient`s perception. METHODS OF STUDY:The study was performed prospectively with 134 patients over the age of 18. They were allotted to three group...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin12.209
更新日期:2013-12-01 00:00:00
abstract::In several conditions objective assessment of nasal obstruction would be of great value. In this study we have compared two different methods for this purpose. Anterior rhinomanometry is a well established method, which measures nasal airway resistance (NAR). This was compared with nasal inspiratory peak flow (NIPF) m...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1990-09-01 00:00:00
abstract::The aim of the present study was to evaluate some of the factors which may influence the reliability of nasal NO measurements, and to optimize methods suitable for children and adults. Nasal nitric oxide (NO) output was determined by chemiluminescent analysis of aspirated samples in 16 adults and 6 children. With the ...
journal_title:Rhinology
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::The nasal cycle has been demonstrated in man using several techniques, including magnetic resonance imaging, anterior rhinoscopy, rhinomanometry, all of which have limitations due to expense, discomfort, limited scope or poor reproducibility. Acoustic rhinometry is a new technique which analyses nasal geometry through...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract::The authors present a case of synchronous manifestation of a myeloproliferative--extramedullary plasmocytoma--and a chronic inflammatory disease of the nose and the paranasal sinuses. They emphasise the importance of imaging techniques and immunohistochemistry in the differential diagnosis. They discuss on the basis o...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2009-09-01 00:00:00
abstract::This study evaluated the efficacy and tolerability of budesonide in an aqueous nasal spray (BANS) in patients with chronic rhinosinusitis. In this double-blind, placebo-controlled, multicentre, parallel-group study, patients (n = 167) with persistent rhinosinusitis symptoms despite 2-weeks' antibiotic treatment were r...
journal_title:Rhinology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:
更新日期:2004-06-01 00:00:00
abstract::The surgical management of Cerebro-spinal Fluid (CSF) rhinorrhea has been modified these last years due to the improvement of endoscopic sinus surgery techniques allowing the treatment of selective dural tears by the endonasal route. Over a period of 6 years, 27 patients with CSF rhinorrhea were operated on by the end...
journal_title:Rhinology
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVES:To evaluate the anatomic variations of neurovascular structures adjacent to the sphenoid sinus and their agreement between right and left sides as well as differences between sexes. METHODS:Forty-five cadavers were dissected (24 men, and differences between sexes and agreement of anatomic variations of the ...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Chronic rhinosinusitis with nasal polyps (CRSwNP) is a heterogeneous disease, and its pathogenesis remains controversial. This study aimed to examine the involvement of fungi in CRSwNP pathogenesis. METHODS:We enrolled 29 controls and 111 CRSwNP patients. We analyzed fungi in the nasal secretions, serum fun...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin18.225
更新日期:2020-04-01 00:00:00
abstract::Electroencephalographic techniques are widely used to provide an objective evaluation of the chemosensory function and to explore neural mechanisms related to the processing of chemosensory events. The most popular technique to evaluate brain responses to chemosensory stimuli is across trial time-domain averaging to r...
journal_title:Rhinology
pub_type: 杂志文章,评审
doi:10.4193/Rhino11.126
更新日期:2012-03-01 00:00:00
abstract::A technique of wedge resection is used for reduction of an extreme projection of the bony nasal pyramid. In these cases the push-down technique is inadequate, and resection of the dorsum is considered too destructive. The method consists of the resection under direct vision of a bony triangle at the base of the bony p...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:1975-12-01 00:00:00
abstract:BACKGROUND:Chronic eosinophilic rhinosinusitis with nasal polyps (CRSwNP eosinophilic) is characterised by the formation of benign and bilateral nasal polyps. We aimed to compare the effectiveness of azithromycin as an immunomodulator with the use of a placebo in patients presenting with CRSwNP concomitant with asthma ...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin20.071
更新日期:2020-12-01 00:00:00
abstract::Anatomical variations of supernumerary middle turbinates include a secondary middle turbinate, which is a bony projection arising from the lateral nasal wall and covered by soft tissue, and an accessory middle turbinate, which is a medially bent uncinate process. Although pneumatization of the middle turbinate is comm...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2008-09-01 00:00:00
abstract::The site of origin of sino-nasal polyps was documented in 113 consecutive patients undergoing functional endoscopic sinus surgery (FESS). These patients were assigned pre-operatively to 4 clinical groups according to the out-patient recorded endoscopic appearance of their nasal cavities; chronic rhinosinusitis without...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2005-09-01 00:00:00
abstract::From 1978 to 1992, 66 patients (32 women and 34 men) were treated for carcinoma of the nasal vestibule at Odense University Hospital. The treatment was radiotherapy (41 patients), surgery (13 patients) or a combination of the two modalities (12 patients). Twenty-one patients (32%) developed recurrence. Of these, 17 (8...
journal_title:Rhinology
pub_type: 临床试验,杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:During endoscopic surgery, it is difficult to ascertain the anatomical landmarks once the anatomy is fiddled with or if the operating area is filled with blood. An augmented reality system will enhance the endoscopic view and further enable surgeons to view hidden critical structures or the results of preope...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:STATEMENT OF PROBLEM:Inverted papilloma (IP) is a proliferative lesion of the epithelium lining the sinonasal tract, characterized by marked propensity for recurrence and association with carcinoma. To determine a putative role of matrix metalloproteinase-2 (MMP-2) and MMP-9 in the establishment of IP, their expression...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2006-09-01 00:00:00
abstract:OBJECTIVES:The effect of hydrostatic infiltrations for subperichondrial dissection is controversial. Classical textbooks promote it as the "key step in elevating the flaps" or consider its practicability "a mere fable". Moreover, case reports describe fatal side effects. Up to now, experimental tests are missing. DESI...
journal_title:Rhinology
pub_type: 杂志文章
doi:10.4193/Rhin09.120
更新日期:2010-06-01 00:00:00
abstract::Several recent studies have indicated that the paranasal sinus bones undergo pathophysiological changes in patients with chronic sinusitis. We examined the mineralization activity of osteoblasts and the production of osteocalcin and cytokines in cultured human osteoblasts derived from ethmoidal bones treated with vita...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2007-09-01 00:00:00
abstract:PURPOSE:To evaluate the effects of the three-wall decompression technique using transpalpebral and endonasal approach in patients suffering from Graves' ophthalmopathy. METHODS:In this prospective study, we present a consecutive series of 15 subjects (17 eyes) who were submitted to orbital decompression by removing th...
journal_title:Rhinology
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00