Biomedical subjects
Publications and source records attributed to W K Stubbs.
Functional endoscopic sinus surgery is a new approach to the diagnosis and management of sinusitis. The technique emphasizes accurate diagnostic evaluation and conservative surgery designed to restore normal drainage pathways. This report provides an overview of the theory and technique of this advance in treatment of chronic sinusitis.
Explore the source record for details and available documents.
Chylous fistulas are an infrequent result of injury to the thoracic duct during radical neck dissection. Leakage of lymph from a fistula which is allowed to persist will cause such serious postoperative problems as metabolic deficiencies, flap elevation, suture breakdown with hemorrhage, and infection. There appears to be no valid justification for extended conservative management if it fails to slow the leak within 48 hours. We recommend prompt exploration of the wound with an operating microscope and microsurgical ligation of the lacerated duct with nonabsorbable sutures.
Explore the source record for details and available documents.
This article describes the procedures of functional endoscopic sinus surgery (FES). The types of patients who are potential candidates for the surgery are discussed and case examples given. The primary rationale for functional endoscopic sinus surgery is its physiological basis in restoring mucocilliary clearance of the paranasal sinuses. Accurate preoperative assessment using telescopic examination in the office and coronal CT scans of the sinus provide the surgeon with precise anatomical information which is used at the time of surgery. The surgery is minimally invasive resulting in significantly less morbidity than with traditional sinus operations. Overall success rates are approximately 85%.