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Endoscopic Sinus Surgery - Science topic

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Endoscopic middle meatal surgery is commonly associated with post-op adhesions. I my self use different techniqs.
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I use plastic splint for 9 days to prevent adhesion.
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Would anyone give their experience regarding feasibility, criteria of selected patients, pre-procedure preparation, post-procedure medications, safety, follow up and outcome?
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Thanks so much Dr, Magdy for sharing your experience.
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Who knows any grading system for nasal adhesions?
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nasal adhesions (synechiae) according to nayak etal 1998; type a  at middle turbinate attachment to lateral nasal wall, type b partial synechiae  at the caudal end /inferior border of middle turbinate to lateral wall, type c complete synechiae at caudal end, type d adhesion between inferior/ middle turbinate and septum. 
I hope this can help
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For nasosinusal steroid implants.
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No, topical steroid every day for all patients.
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Fungal sinusitis is one of the important cause of nasal polyposis. Surgical clearance is of course the main treatment for this, as most of us agree. Most, if not all invasive forms require systemic antifungal treatment. What is the role of antifungal medication in allergic fungal sinusitis?
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Fungal sinusitis is not always due to aspergillosis and not treated with iatroconazole alone. The options for post operative care would depend on the invasivenesss of the fungus,it's sensitivity, the immune status of the patient (AFRS or otherwise), and the completeness of resection in the inaccessable area. Indeed, mucormycosis is different fron AFRS. Iatroconazole, voriconazole and ampotericin B are used . The options for post op care would vary from steroid therapy to ampotericin B as the need dictates. We cannot treat all "polyps" with fungal sinusitis as one.