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The role of CT scan in predicting complications in small ethmoidal osteomas

.4193/Rhino12.130. 5. Schick B, Steigerwald C, el Rahman el Tahan A, Draf W. The role of endonasal surgery in the management of frontoethmoidal osteomas. Rhinology. 2001;39(2):66-70. 6. Lund VJ, Stammberger H, Nicolai P, Castelnuovo P, Beal T, Beham A, et al. European position paper on endoscopic management of tumours of the nose, paranasal sinuses and skull base. Rhinol Suppl. 2010;22:1-143.

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A randomized control study to compare the efficacy of intranasal fluticasone propionate and intranasal budesonide in controlling postoperative symptoms in patients with nasal polyposis after endoscopic sinus surgery


BACKGROUND. Sinonasal polyposis represents a chronic inflammatory condition characterized by nasal obstruction, reduction in the sense of smell and impaired quality of life. Intranasal steroids play an important role in preventing the postoperative recurrences in these cases. We carried out a study to evaluate and compare intra nasal budesonide and intranasal fluticasone propionate in the postoperative management of ethmoidal nasal polyposis.

MATERIAL AND METHODS. 106 patients with ethmoidal polyposis were treated with endoscopic polypectomy and were postoperatively started and maintained on intranasal steroids. 54 patients were managed with budesonide and 52 patients maintained on fluticasone propionate nasal spray. The patients were followed-up for 6 months and recurrences and control of symptoms evaluated.

RESULTS. There was a statistical difference in the SNOT-22 (p<0.0001) and Lund-Kennedy scores (p=0.015) between patients using fluticasone propionate as compared to those using budesonide intra nasal spray by the end of the 6th month.

CONCLUSION. Both intranasal budesonide and fluticasone propionate are effective in controlling symptoms after endoscopic sinus surgery in patients with sinonasal polyposis; however, intranasal fluticasone propionate was more efficacious than budesonide in the control of postoperative symptoms.

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Sinonasal inverted papilloma – what’s new

.26.3732. 7. Strojan P, Jereb S, Borsos I, But-Hadzic J, Zidar N. Radiotherapy for inverted papilloma: a case report and review of the literature. Radiol Oncol. 2013;47(1):71-6. DOI: 10.2478/v10019-012-0045-8. 8. Bathma S, Harvinder S, Philip R, Rosalind S, Gurdeep S. Endoscopic management of sinonasal inverted papilloma. Med J Malaysia. 2011;66(1):15-8. 9. Grayson JW, Khichi SS, Cho DY, Riley KO, Woodworth BA. Management strategies for skull base inverted papilloma. Otolaryngology–Head and Neck Surgery. 2016;155(1):179-83. DOI: 10

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Angioedema, a life-threatening adverse reaction to ACE-inhibitors

.1016/j.anai.2012.10.008. 8. Vuzitas A, Sarafoleanu C. Hereditary angioedema – an otolaryngologist’s perspective. Rom J Rhinol. 2016;6(23):133-8. DOI: 10.1515/rjr-2016-0015. 9. Cicardi M, Aberer W, Banerji A, Bas M, Bernstein JA, Bork K, et al. Classification, diagnosis, and approach to treatment for angioedema: consensus report from the Hereditary Angioedema International Working Group. Allergy. 2014;69(5):602-16. DOI: 10.1111/all.12380. Epub 2014 Mar 27. 10. Misra L, Khurmi N, Trent man TL. Agioedema: classification, management and emerging therapies

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Use of codeine and NSAID combination in rhinogenic headache

. 2002;58(9 Suppl 6):S10-4. 22. Moskowitz MA, Cutrer FM. Sumatriptan: a receptor-targeted treatment for migraine. Annu Rev Med. 1993;44:145–54. 23. Goadsby PJ, Edvinsson L, Ekman R. Release of vasoactive peptides in the extracerebral circulation of humans and the cat during activation of the trigeminovascular system. Ann Neurol. 1988;23(2):193–6. 24. Schreiber CP. The pathophysiology of primary headache. Prim Care. 2004;31(2):261–76, v-vi. 25. Becker DE. Pain Management: Part 1: Managing acute and postoperative dental pain. Anesth Prog. 2010

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Epistaxis management - our point of view and literature review

REFERENCES 1. Daudia A, Jaiswal V, Jones NS. Guidelines for the management of idiopathic epistaxis in adults: how we do it. Clinical Otolaryngol. 2008;33(6):618–20. DOI:10.1111/j.1749-4486.2008.01795.x. 2. Paul J, Kanotra SP, Kanotra S. Endoscopic Management of Posterior Epistaxis. Indian J Otolaryngol Head Neck Surg. 2011;63(2):141-4. DOI: 10.1007/s12070-010-0054-0. 3. Pond F, Sizeland A. Epistaxis strategies for management. Australian Family Physician. 2000;29(10):933-8. 4. Beran M, Petruson B. Occurrence of epistaxis in habitual nose

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Difficulties in the surgical management of head and neck cancer patient

neck cancer. Available at Accessed June 16, 2017. 3. Collins R., Flynn A., Melville A., Richardson R., Eastwood A. - Effective health care: management of head and neck cancers. Qual Saf Health Care, 2005;14(2):144-148. doi: 10.1136/qshc.2005.013961. 4. Shepphird J. - Treatment delay linked with worse outcome for head and neck cancer. Oncology Practice. December 7, 2015. 5. van Harten M.C., de Ridder M., Hamming-Vrieze O., Smeele L

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Evolution of microbial etiology in acute and chronic rhinosinusitis and its role in the current management of antibiotic treatment

. Sabaru I, Neagu A. Acute bacterial rhinosinusitis: new aspects regarding bacterial spectrum and microbiologic diagnosis. Romanian Journal of Rhinology. 2014;4(14):111-6. 5. Wang DY, Wardani RS, Singh K, Thanaviratananich S, Vicente G, Xu G, et al. A survey on the management of acute rhinosinusitis among Asian physicians. Rhinology. 2011;49(3):264-71. DOI: 10.4193/Rhino10.169. 6. Revai K, Dobbs LA, Nair S, Patel JA, Grady JJ, Chonmaitree T. Incidence of acute otitis media and sinusitis complicating upper respiratory tract infection: the effect of age

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Cystic fibrosis - general review on sinonasal complications and case report

the maxillary sinuses in patients with cystic fibrosis. J Infect Dis., 1982;146(5):589–593. 9. Halvorson D.J., Dupree J.R., Porubsky E.S. - Management of chronic sinusitis in the adult cystic fibrosis patient. Ann Otol Rhinol Laryngol., 1998;107(11 Pt 1):946–952. 10. Mak G.K., Henig N.R. - Sinus disease in cystic fibrosis. Clin Rev Allergy Immunol., 2001;21(1):51–63. 11. Moss R.B., King V.V. - Management of sinusitis in cystic fibrosis by endoscopic surgery and serial antimicrobial lavage. Reduction in recurrence requiring surgery. Arch Otolaryngol

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Surgery for nasal obstruction in inferior turbinate hypertrophy

References 1. Steiner W., Werner A.J. - Lasers in otorhinolaryngology, head and neck surgery. Endo-Press, Tuttlingen, 2006. 2. Leong S.C., Eccles R. - Inferior turbinate surgery and nasal airflow: evidenced- based management. Curr Opin Otolaryngol Head Neck Surg., Feb. 2010;18(1):54-9. 3. Thompson A.K., Juniper E., Meltzer E.O. - Quality of life in patients with allergic rhinitis. Ann Allergy Asthma Immunol., 2000;85(5):338-348. 4. Blaiss M.S. - Quality of life in allergic rhinitis. Ann Allergy

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