Patient Testimonials

ENT Research at the California Sinus Centers

 

Otolaryngology, ENT & Sinus News Provided by the California Sinus Centers

Quadrupedal head position enhances recovery from chronic maxillary sinusitis - Corrected Proof

June 3, 2013, 12:00 pm by American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press

Abstract: Objectives: The position of human maxillary ostia is high on their superomedial walls, which may be suboptimal for natural drainage. Human maxillary sinuses exhibit better passive drainage through their ostia when tilted anteriorly to mimic a quadrupedal head position. We all know that sufficient drainage is very important for the treatment of chronic rhinosinusitis (CRS). Chronic maxillary sinusitis (CMS) is the high incidence of CRS. The aim of this study was to investigate the efficacy of quadrupedal head position in patients with CMS.Methods: One hundred six patients diagnosed with CMS were enrolled. Patients were randomized to quadrupedal head position group and non-quadrupedal head position group for 6weeks of treatment. Treatment outcomes were measured using 1) Lund-Mackay scoring system of pre-and post-treatment computer tomography (CT); and 2) Sinonasal Quality-of-Life (QoL) Survey completed at baseline and 6weeks of therapy.Results: There were statistically significant differences in QoL scores and CT scores between quadrupedal head position group and non-quadrupedal head position group. The quadrupedal head position group had much more improvements in QoL scores and CT scores than that of non-quadrupedal head position group. One patient in the quadrupedal head position group required functional endoscopic sinus surgery (ESS) due to persistent symptoms, and nine patients in non-quadrupedal head position group needed ESS. There were less patients that required ESS in the quadrupedal head position group than in the non-quadrupedal head position group.Conclusions: The improvements of QoL scores and CT scores were significantly better in the quadrupedal head position group than that in the non-quadrupedal head position group. Quadrupedal head position can be valuable adjuvant therapy for patients with CMS.

Read the full article


More from American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press

Predictive factors and outcomes of cochlear implantation in patients with connexin 26 mutation; a comparative study
American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press: August 26, 2014, 12:00 pm


FoxP3 and Indoleamine 2,3-dioxygenase Immunoreactivity in Sentinel Nodes from Melanoma Patients
American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press: August 22, 2014, 12:00 pm


Warfarin Induced Sublingual Hematoma: a Ludwig Angina Mimic
American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press: August 20, 2014, 12:00 pm


Uremuc Leontiasis Ossea
American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press: August 20, 2014, 12:00 pm


Paraganglioma of the Facial Canal: a Report of 2 Cases and Literature Review
American Journal of Otolaryngology - Head and Neck Medicine and Surgery - Articles in Press: August 20, 2014, 12:00 pm


 

NOTICE: The CSC web site "Otolaryngology ENT Industry News" has data and links presented by way of the above mentioned RSS news feeds. We offer this industry news for your convenience and education. CSC does not review the information provided in this section. CSC does not assume any endorsement or present these third-party feeds and links as CSC belief or in conjunction with CSC whatsoever. While we try to select appropriate feeds to prevent objectionable content from being displayed, the presence of any article does not indicate endorsement or recommendation by the California Sinus Centers. For more information, please see our disclaimer.