Abstract:
BACKGROUND:The incidence of adverse sequelae related to trauma of cranial nerve V2 (V2) and the Vidian nerve (VN) during endoscopic pterygoid recess repair (PRR) of lateral sphenoid encephalocele is insufficiently reported in the medical literature. As part of our quality assessment and improvement program we sought to analyze the incidence and severity of V2 and VN injury during a 9-year experience (2010-2018) with PRR. METHODS:Hypoesthesia, paresthesia, and dry eye and their impact on patient quality of life were sought through chart review and a self-reported 0 to 5 Likert scale for each symptom. RESULTS:Thirty-five patients underwent repair of spontaneous cerebrospinal-fluid (CSF) rhinorrhea, with 11 consecutive patients undergoing endoscopic PRR. Mean follow-up for PRR was 32.5 months (range, 2.4 to 103.3 months). Although definitive management resulted in 100% success, 1 required secondary treatment. Eight patients were available for long-term follow-up (72.7%) and completed a symptom severity questionnaire using a Likert-scale. All patients observed either hypoesthesia, paresthesia, or dry eye of varying gradation (scale, 0 to 5). None described disabling symptoms, and some reported gradual improvement. Numbness, paresthesia, and dry eye were reported by 6 of 8 (75%), 5 of 8 (62.5%), and 4 of 8 (50%) patients, respectively. The mean Likert score among the 8 patients who completed this questionnaire noticing hypoesthesia, paresthesia, and dry eye was 2.6, 1.3, and 1.8, respectively. CONCLUSION:Meticulous surgical technique is paramount for successful PRR and minimizing nerve injury, yet the anatomic variation of the lateral pterygoid recess can be challenging, and neural injury is a real risk. Preoperatively, patients should be counseled that although V2 or VN injury is common, most patients describe resulting symptoms to be rarely bothersome.
journal_name
Int Forum Allergy Rhinoljournal_title
International forum of allergy & rhinologyauthors
Chislett SP,Limjuco AP,Solyar AY,Lanza DCdoi
10.1002/alr.22448subject
Has Abstractpub_date
2020-01-01 00:00:00pages
81-88issue
1eissn
2042-6976issn
2042-6984journal_volume
10pub_type
杂志文章abstract:BACKGROUND:Topical intranasal corticosteroid sprays (INCSs) are standard treatment for nasal polyps (NPs), but their efficacy is reduced by poor patient compliance and impaired access of drug to the sinus mucosa. A corticosteroid-eluting sinus implant was designed to address these limitations in patients with recurrent...
journal_title:International forum of allergy & rhinology
pub_type: 杂志文章,随机对照试验
doi:10.1002/alr.22084
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Odontogenic sinusitis (OS) presents a therapeutic dilemma. Evidence is lacking whether dental treatment alone is sufficient or whether patients will eventually require endoscopic sinus surgery (ESS). Our aim was to identify predictors of OS patients undergoing ESS. METHODS:Retrospective review performed of ...
journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
doi:10.1002/alr.21736
更新日期:2016-07-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
doi:10.1002/alr.22678
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章,随机对照试验
doi:10.1002/alr.21688
更新日期:2016-03-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2015-04-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
doi:10.1002/alr.21966
更新日期:2017-08-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
doi:10.1002/alr.22064
更新日期:2018-04-01 00:00:00
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journal_title:International forum of allergy & rhinology
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2013-12-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2014-05-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2021-01-01 00:00:00
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更新日期:2013-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2014-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/alr.22625
更新日期:2021-01-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2020-08-09 00:00:00
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更新日期:2011-05-01 00:00:00
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更新日期:2015-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-09-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2015-05-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
doi:10.1002/alr.21295
更新日期:2014-04-01 00:00:00
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更新日期:2019-10-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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journal_title:International forum of allergy & rhinology
pub_type: 杂志文章
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更新日期:2016-02-01 00:00:00
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pub_type: 临床试验,杂志文章,多中心研究
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更新日期:2013-10-01 00:00:00