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Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review

Includes bibliographical references.

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Main Author: Kamedien,Mogammad Sauliegh
Other Authors: Lubbe, Darlene
Format: Thesis
Language:English
Published: Division of Otorhinolaryngology 2015
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access_status_str Open Access
author Kamedien,Mogammad Sauliegh
author2 Lubbe, Darlene
author_browse Kamedien,Mogammad Sauliegh
Lubbe, Darlene
author_facet Lubbe, Darlene
Kamedien,Mogammad Sauliegh
author_sort Kamedien,Mogammad Sauliegh
collection Thesis
description Includes bibliographical references.
format Thesis
id oai:open.uct.ac.za:11427/13206
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:23.204Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Division of Otorhinolaryngology
publisherStr Division of Otorhinolaryngology
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/13206 Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review Kamedien,Mogammad Sauliegh Lubbe, Darlene Otorhinolaryngology Includes bibliographical references. Sinonasal tumours have been resected endoscopically at Groote Schuur Hospital Cape Town South Africa since 2003. Surgery, although seen as minimally invasive because no external incisions are visible, is often very aggressive and destructive to the nasal structures. The removal of the nasal turbinates has always been seen as sacrilege due to the risk of developing atrophic rhinitis. If the theory regarding developing atrophic rhinitis after a simple turbinectomy stands true, one would expect a high incidence of atrophic rhinitis after radical resection of the sinonasal structures. This has not been our experience. METHODS: The study population includes a retrospective case review of all patients that had endoscopic sinonasal tumour resection by the same surgeon between 2006 and 2010. All patients were assessed for symptoms and signs suggestive of atrophic rhinitis up to two years post resection. RESULTS: 51 patients (34M: 17F) were included in the study. Patients with residual or recurrent tumour (n=19) and patients who had received adjuvant radiotherapy (n=17) had a statistically significant chance of developing symptoms and signs suggestive of atrophic rhinitis over time. Variables such as age, gender, extent of surgery, bilateral disease, benign or malignant tumour, were not statistically significant in the development of symptoms and signs suggestive of atrophic rhinitis over time. CONCLUSIONS: Atrophic rhinitis is not more common in patients who undergo endoscopic sinonasal surgery without adjuvant therapy. However, patients with residual tumour (after debulking surgery) or recurrent tumour and those who had received adjuvant radiotherapy had a statistically significant chance of developing symptoms and signs suggestive of atrophic rhinitis over time. Keywords: atrophic rhinitis, endoscopic resection, turbinectomy, medial maxillectomy, sinonasal tumours. 2015-07-01T08:48:49Z 2015-07-01T08:48:49Z 2014 Master Thesis Masters MMed http://hdl.handle.net/11427/13206 eng application/pdf Division of Otorhinolaryngology Faculty of Health Sciences University of Cape Town
spellingShingle Otorhinolaryngology
Kamedien,Mogammad Sauliegh
Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review
thesis_degree_str Master's
title Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review
title_full Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review
title_fullStr Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review
title_full_unstemmed Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review
title_short Incidence of atrophic rhinitis after endoscopic sinonasal surgery : a retrospective review
title_sort incidence of atrophic rhinitis after endoscopic sinonasal surgery a retrospective review
topic Otorhinolaryngology
url http://hdl.handle.net/11427/13206
work_keys_str_mv AT kamedienmogammadsauliegh incidenceofatrophicrhinitisafterendoscopicsinonasalsurgeryaretrospectivereview