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Single seventh day debridement compared to frequent debridement after endoscopic sinus surgery: a randomized controlled trial

  • Rhinology
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Abstract

The aim of this study was to evaluate the postoperative debridement frequency following endoscopic sinus surgery. Individual randomized controlled trial. Sixty-two adult patients with a diagnosis of chronic rhino sinusitis (CRS) with nasal polyps (NP) and CRS without NP meeting the inclusion criteria were enrolled in this prospective study. The patients were randomized equally to frequent debridement (FD; at postoperative weeks 1, 2 and 4) or to a single debridement (SD; at postoperative week 1) after surgery. The outcomes were assessed with visual analog scale (VAS) for nine main symptoms concerning patient discomfort within the first 4 weeks, with the modified Lund-Kennedy endoscopic score (MLKES) at weeks 4 and 24 and with the sino-nasal outcome test-20 (SNOT-20) at week 24. Thirty-seven of the patients were male, and twenty-five were female. The mean age was 36.1 ± 13.5 in FD group and 39.2 ± 14.7 in SD group. In the SD group, the VAS scores at postoperative week four showed significantly less discomfort at visits (p = 0.004) and less negative effects on their work (p = 0.013). There was no statistically significant difference between the two groups in the week 4 and 24 MLKES and in the week 24 SNOT-20 scores (p > 0.05). The endoscopic findings did not show significant differences between the groups. Our data indicate that FD causes more discomfort at the required visits, more facial pain and more negative effects on patients’ work; this method is not superior to postoperative single seventh day debridement in terms of the 24-week quality of life and endoscopic scores.

Level of evidence: 1b.

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Acknowledgments

We acknowledge the support of Adnan Karaibrahimoglu of the Department of Medical Education and Informatics for the statistical analyses.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Meram Medical Faculty, Necmettin Erbakan University, 42080, Konya, Turkey

    Yasin Kursad Varsak, Mehmet Akif Eryılmaz & Hamdi Arbag

  2. Department of Otorhinolaryngology, Head and Neck Surgery, Selcuk University, Konya, Turkey

    Koksal Yuca

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  1. Yasin Kursad Varsak
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  2. Koksal Yuca
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  3. Mehmet Akif Eryılmaz
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  4. Hamdi Arbag
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Correspondence to Yasin Kursad Varsak.

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Varsak, Y.K., Yuca, K., Eryılmaz, M.A. et al. Single seventh day debridement compared to frequent debridement after endoscopic sinus surgery: a randomized controlled trial. Eur Arch Otorhinolaryngol 273, 689–695 (2016). https://doi.org/10.1007/s00405-015-3630-9

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  • DOI: https://doi.org/10.1007/s00405-015-3630-9

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