CPAP-induced sphenoid sinus pressures after endoscopic sinus surgery

IF 7.2 2区医学 Q1 OTORHINOLARYNGOLOGY International Forum of Allergy & Rhinology Pub Date : 2024-08-30 DOI:10.1002/alr.23440

Glen E. D'Souza MD, Alexander Duffy MD, Shreya Mandloi BS, Emily Garvey MD, Bita Naimi MD, Paavali Hannikainen MD, Peter Benedict MD, Gurston N. Nyquist MD, Christopher Farrell MD, Marc Rosen MD, Elina Toskala MD, PhD, MBA, James Evans MD, Mindy R. Rabinowitz MD

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Abstract

Key points

Positive pressure transmitted from continuous positive airway pressure (CPAP) to the sinuses and skull base in the early post-operative period has not been studied in live subjects and controversy exists in when to restart this post-operatively.
This study found that approximately 32.76% and 13.52% of the delivered CPAP pressures reached the post-surgical sphenoid sinus and the mid-nasal cavity, respectively, suggesting that surgical factors such as tissue edema, nasal packing, blood, and nasal secretions may provide a protective effect.

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内窥镜鼻窦手术后 CPAP 引起的蝶窦压力。

要点：尚未对活体受试者术后早期从持续气道正压（CPAP）传输到鼻窦和颅底的正压进行过研究，对术后何时重新启动也存在争议。本研究发现，约有 32.76% 和 13.52% 的 CPAP 压力分别到达了术后的蝶窦和中鼻腔，这表明组织水肿、鼻腔填料、血液和鼻腔分泌物等手术因素可能起到了保护作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Forum of Allergy & Rhinology OTORHINOLARYNGOLOGY-

CiteScore

11.70

自引率

10.90%

发文量

185

审稿时长

6-12 weeks

期刊介绍： International Forum of Allergy & Rhinologyis a peer-reviewed scientific journal, and the Official Journal of the American Rhinologic Society and the American Academy of Otolaryngic Allergy. International Forum of Allergy Rhinology provides a forum for clinical researchers, basic scientists, clinicians, and others to publish original research and explore controversies in the medical and surgical treatment of patients with otolaryngic allergy, rhinologic, and skull base conditions. The application of current research to the management of otolaryngic allergy, rhinologic, and skull base diseases and the need for further investigation will be highlighted.