xRead - Nasal Obstruction (September 2024) Full Articles

20426984, 2021, 3, Downloaded from https://onlinelibrary.wiley.com/doi/10.1002/alr.22741 by Stanford University, Wiley Online Library on [01/07/2024]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

598

International consensus statement on rhinosinusitis

(Continues)

statistically significant

2. Without IGS (n-24) better outcomes on these measures Stelter 2111 2015 3 Cohort study ESS with IGS (n = 40) and

without IGS (n-40) IGS not associated with lower levels of physiologic stress Theodoraki 2110 2015 3 Cohort study ESS with IGS (n = 32 sides) and without IGS (n = 32 sides), by trainees Physiological markers of stress IGS neither increases nor reduces the physiological workload of trainees Tschopp 2108 2008 3 Prospective case series ESS procedures With IGS (n = 62) Physiological markers of stress

Javer 2103 2006 3 Prospective case series Without IGS (n = 15) RSOM-31 IGS usage associated with greater improvement in QoL after ESS. Woodworth 2083 2005 3 Prospective case series ESS procedures With IGS (n = 80)

TABLE XII-20 Evidence for the use of image guidance in sinus surgery Study Year LOE Study Design Study Groups Clinical Endpoint Conclusions Vreugenberg 2101 2016 1 Meta-analysis Comparison of ESS with and without IGS in "complex" cases Complication rates IGS associated with lower complication rates in complicated ESS Dalgorf 2100 2013 1 Meta analysis 14 controlled cohorts (including 1 randomized trial) Complications IGS reduces major complication rates Galletti 2095 2019 3 Cohort study 96 ESS procedures 1. with IGS (n = 48) 2. without IGS (n- = 48) Recurrence rate, reduction in nasal resistance, frontal stenosis rate, nasal symptoms IGS associated with statistically significant better outcomes on these critical measures

registration produce similar

TRE (0.3-0.4 mm), but laser registration is faster.

complications; but overall

outcomes are similar with and without IGS.

Time for registration; TRE Both laser and touch

IGS associated with

IGS is associated with few

Recurrence rate, complication rate

Extent of surgery; indications for surgery; patient

symptoms (VAS); surgeon satisfaction

Without IGS (n = 62)

Ahn 2144 2018 3 Cohort study ESS procedures for inverted papilloma surgery 1. With IGS (n = 34)

15 ESS cases with IGS: Laser registration

Touch registration