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Chronic Rhinosinusitis Risk after Maxillectomy with Microvascular Reconstruction
Michael T Werner1, Ryan M Carey2, Kush Panara3
1Department of Otolaryngology, Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA.
Summary
Chronic rhinosinusitis (CRS) is often underdiagnosed after maxillectomy with free flap reconstruction. Early evaluation of sinus disease post-surgery can improve long-term quality of life for survivors.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Oncology
Background:
- Maxillary sinus tumors can be associated with chronic rhinosinusitis (CRS).
- Outcomes of maxillectomy with free flap reconstruction in CRS patients are not well-defined.
- Understanding post-surgical sinus health is crucial for long-term cancer patient care.
Purpose of the Study:
- To evaluate the incidence and risk factors of chronic rhinosinusitis (CRS) in patients undergoing maxillectomy with free flap reconstruction.
- To determine the long-term sinus-related health outcomes in this patient population.
- To highlight the potential underdiagnosis of CRS in patients with maxillary sinus tumors.
Main Methods:
- Retrospective analysis of medical records from 2013-2020.
- Inclusion of patients who underwent maxillectomy with free flap reconstruction.
- Assessment of post-operative CRS diagnosis, sinus symptom treatment, and radiographic evidence of inflammation.
Main Results:
- 19 (22.6%) patients were diagnosed with CRS post-surgery.
- 23 (27.4%) patients required treatment for sinus symptoms.
- 49 (58.3%) showed radiographic evidence of sinus inflammation >6 months.
- Chemotherapy and pre-operative sinus medication use were significant risk factors for requiring sinus treatment.
Conclusions:
- Chronic rhinosinusitis (CRS) may be underdiagnosed in patients after maxillectomy with microvascular reconstruction.
- Further investigation of sinus disease and symptoms post-neoplastic surgery is warranted.
- Improved management of CRS can enhance the quality of life for long-term survivors.
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