Surgery for sinusitis and aspirin triad. Laryngoscope 1990 Oct;100(10 Pt 1):1043-6
Date
10/01/1990Pubmed ID
2215033DOI
10.1288/00005537-199010000-00003Scopus ID
2-s2.0-0025066080 (requires institutional sign-in at Scopus site) 46 CitationsAbstract
An 11-year retrospective study was conducted to evaluate the surgical treatment of sinusitis in aspirin-triad patients. Twenty-five patients were selected for surgery when their sinus disease and asthma progressed despite intense medical treatment. Sixteen patients had radiographic evidence of severe ethmoid disease, and their initial surgical procedures were limited (i.e., bilateral intranasal ethmoidectomies). Of these 16 patients, 6 required subsequent surgery for recurrent sinusitis. Nine of the 25 patients had radiographic evidence of severe antral, as well as ethmoid, disease. Their initial surgical procedures were radical, i.e., bilateral Caldwell-Luc operations with intranasal and transantral sphenoethmoidectomies. None of these 9 patients required further surgical treatment for control. This review indicates that if antral and sphenoid disease are detected in association with ethmoid involvement, a radical surgical approach is the operation of choice.
Author List
McFadden EA, Kany RJ, Fink JN, Toohill RJMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aspirin
Asthma
Chronic Disease
Drug Hypersensitivity
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nasal Polyps
Postoperative Complications
Quality of Life
Retrospective Studies
Sinusitis
Syndrome
