Incidence and management of rhinosinusitis after complex orbitofacial reconstruction.

Authors

William Parkes, Thomas Jefferson UniversityFollow
Gurston G. Nyquist, Thomas Jefferson UniversityFollow
Christopher Rizzi, Thomas Jefferson UniversityFollow
Sarah Zhang, Thomas Jefferson UniversityFollow
James J. Evans, Thomas Jefferson UniversityFollow
Ryan N. Heffelfinger, Thomas Jefferson UniversityFollow
Marc Rosen, Thomas Jefferson UniversityFollow
Joseph Curry, Thomas Jefferson UniversityFollow

Document Type

Article

Publication Date

10-1-2013

Comments

This article has been peer reviewed. It is the authors' final version prior to publication in Laryngoscope.

October 1, 2013.

The published version is available at DOI: 10.1002/lary.24423. Copyright © Wiley

Abstract

OBJECTIVE: To examine the sinus-related sequelae of free flap reconstruction for complex orbitofacial defects.

STUDY DESIGN: Retrospective chart review METHODS: Demographic, clinical, and radiographic data on a series of 55 patients who had undergone free tissue transfer for orbitofacial reconstruction was retrospectively reviewed. Follow-up of ≥ 3 months was available for 49 patients. Outcome measures studied included clinical or radiographic evidence of sinusitis and the need for sinus surgery.

RESULTS: The most commonly involved sinuses were the ethmoid (n=40) and maxillary (n=38) sinuses, and the anterolateral thigh was the most common flap used (n=41). Clinical and/or radiographic sinusitis was evident in 21 patients (43%), and 10 patients (20%) required sinus surgery at some point during follow-up. Involvement of multiple sinuses in the initial orbitofacial surgery was associated with a significantly increased need for subsequent sinus surgery (p=0.009). Adjuvant radiotherapy and adjuvant chemo-radiotherapy were associated with a significantly increased risk for the development of rhinosinusitis (p=0.045 and 0.016 respectively).

CONCLUSION: Rhinosinusitis and the need for operative management of sinus obstruction are common in patients having undergone complex orbitofacial reconstruction. Careful management of the paranasal sinuses is an important component of the multidisciplinary treatment of such patients.

Recommended Citation

Parkes, William; Nyquist, Gurston G.; Rizzi, Christopher; Zhang, Sarah; Evans, James J.; Heffelfinger, Ryan N.; Rosen, Marc; and Curry, Joseph, "Incidence and management of rhinosinusitis after complex orbitofacial reconstruction." (2013). Department of Otolaryngology - Head and Neck Surgery Faculty Papers. Paper 27.
https://jdc.jefferson.edu/otofp/27

PubMed ID

24114760