caa a22 4500 606185763 CHVBK 20210128100833.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00405-014-3188-y doi (NATIONALLICENCE)springer-10.1007/s00405-014-3188-y Sinonasal evaluation and treatment before liver transplantation: a retrospective review of 982 patients [Elektronische Daten] [Sang Hong, Min-Seok Jang, Hyun-Jin Cho, Hyo Kim, Hun-Jong Dhong, Seung-Kyu Chung, Jae-Won Joh] Immunosuppression after liver transplantation (LT) increases complications from infection. The usefulness of sinonasal evaluation before LT has not been fully evaluated. The aim of this study was to determine the usefulness of routine sinonasal evaluation before LT and pre-transplant treatment of sinusitis. The clinical records of 982 adult patients (age ≥18years) who underwent LT between January 1997 and June 2011 were retrospectively reviewed and analyzed. A total of 920 patients (93.7%) underwent pre-LT sinonasal evaluation, including a sinonasal symptom questionnaire, nasal endoscopy and plain X-ray. Of these patients, 269 (29.2%) had abnormal findings and underwent paranasal CT scans. Based on CT, 102 patients, including 21 with fungal ball, were diagnosed with sinusitis and 62 (60.8%) underwent LT after medical or surgical treatment for sinusitis. Another 40 patients (33 with sinusitis and 7 with fungal ball) underwent LT without treatment for sinusitis. No difference in infectious complications was observed according to sinusitis treatment type. Among chronic rhinosinusitis patients, those who underwent LT (n=48) after adequate treatment had a lower mortality rate than those who did not receive treatment (n=33) (12.5 vs. 33.3%; p=0.024). Sinonasal evaluation preceding LT did not prevent infectious complications but untreated sinusitis might be correlated with increased mortality after LT. Routine pre-LT sinonasal evaluation would be considered for safer transplantation. Springer-Verlag Berlin Heidelberg, 2014 Chronic rhinosinusitis nationallicence Fungal sinusitis nationallicence Liver transplantation nationallicence Infectious complications nationallicence Sinonasal evaluation nationallicence Immunosuppression nationallicence Mortality nationallicence Hong Sang Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut Jang Min-Seok Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut Cho Hyun-Jin Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut Kim Hyo Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut Dhong Hun-Jong Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut Chung Seung-Kyu Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut Joh Jae-Won Departments of Surgery, Organ Transplant Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 897-903 0937-4477 272:4<897 2015 272 405 https://doi.org/10.1007/s00405-014-3188-y text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3188-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hong Sang Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut NATIONALLICENCE 700 1- Jang Min-Seok Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut NATIONALLICENCE 700 1- Cho Hyun-Jin Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut NATIONALLICENCE 700 1- Kim Hyo Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut NATIONALLICENCE 700 1- Dhong Hun-Jong Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut NATIONALLICENCE 700 1- Chung Seung-Kyu Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, 135-710, Seoul, Korea aut NATIONALLICENCE 700 1- Joh Jae-Won Departments of Surgery, Organ Transplant Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/4(2015-04-01), 897-903 0937-4477 272:4<897 2015 272 405