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Patients electing medical vs surgical treatment: emotional domain of the Rhinosinusitis Disability Index associates with treatment selection
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Quinn Orb MD Jess C. Mace MPH Adam S. DeConde MD Toby O. Steele MD Steve T. Cox MD Timothy L. Smith MD MPH Jeremiah A. Alt MD PhD 《International forum of allergy & rhinology》2016,6(3):315-321
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The lamina push test: an alternative to the globe push test for identifying the medial orbit during endoscopic sinus surgery
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Ravi R. Shah MD William W. Thomas MD Edward C. Kuan MD MBA David W. Kennedy MD 《International forum of allergy & rhinology》2018,8(9):1073-1075
Background
Aside from endoscopic and image guidance confirmation, the standard method of identifying the lamina involves the surgeon or an assistant applying gentle pressure on the globe externally. This globe push test requires the surgeon to remove one instrument from the endoscopic field or an assistant to press on the globe, and the test is most useful when either the periorbita or periorbital fat is exposed. We propose an alternative, equally accurate, and more efficient technique dubbed the lamina push test.Methods
A blunt instrument is used to gently apply lateral pressure in the expected location of the medial orbital wall. If the lamina has been adequately skeletonized, the entire lamina will be seen to move as a unit. If residual ethmoid partitions are present, no movement or only localized movement is observed.Results
Using the lamina push test, we have been able to safely identify the lamina papyracea in all patients undergoing endoscopic sinus surgery, without injury to the lamina or orbital contents. The use of direct pressure significantly increases the movement of an intact lamina.Conclusion
The lamina push test is a safe and effective technique for identification of the medial orbital wall, confirmation of removal of all lateral ethmoid partitions, and verification of lamina integrity. It enables more consistent identification of an intact lamina, allows the surgeon to keep both instruments in the endonasal surgical field, and does not require an assistant.16.
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Comparing the efficacy of Silastic and gloved‐Merocel middle meatal spacers for functional endoscopic sinus surgery: a randomized controlled trial
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Jamil Manji MSc Al‐Rahim R. Habib MSc Luis Macias‐Valle MD Andres Finkelstein MD Saad Alsaleh MD FRCSC Anali Dadgostar MD Fahad Al‐Asousi MD Christopher Okpaleke MD Amin R. Javer MD FRCSC FARS 《International forum of allergy & rhinology》2018,8(8):948-954