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Laser and topical mitomycin C for management of nasal synechia after FESS: a preliminary report

  • Rhinology
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Abstract

The objective of the study is to assess the role of diode laser coupled with topical mitomycin C (MMC) in the management of synechia after endoscopic sinus surgery. Twenty-five patients with recurrent sinusitis due to synechia between the middle turbinate and lateral nasal wall after endoscopic sinus surgery were included in this study. Diode laser was used to divide the synechia and MMC was applied topically in the area of the middle meatus for 5 min. Patients were followed for 6 months to assess symptoms improvement, recurrence of synechia and CT scan changes. Most of our patients reported improvement of their symptoms, recurrent synechia occurred in 15% of the patients with significant improvement of the CT scan findings. In conclusion, the diode laser with topical MMC is an outpatient procedure which is simple, safe and effective in managing postoperative nasal synechia.

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Acknowledgments

The authors would like to thank Dr Ahmed Saada, MD, for his help in photography.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Faculty of Medicine, Cairo University, Cairo, Egypt

    Ahmed Hesham, Ahmed Fathi & Mahmoud Attia

  2. Laser Institute of Enhanced Laser Sciences, Cairo University, Cairo, Egypt

    Sherif Safwat

  3. Magrabi Eye and Ear Hospital, P.O. Box 513, 112, Muscat, Sultanate of Oman

    Ahmed Hesham

Authors
  1. Ahmed Hesham
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  2. Ahmed Fathi
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  3. Mahmoud Attia
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  4. Sherif Safwat
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  5. Ahmed Hesham
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Correspondence to Ahmed Hesham.

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Hesham, A., Fathi, A., Attia, M. et al. Laser and topical mitomycin C for management of nasal synechia after FESS: a preliminary report. Eur Arch Otorhinolaryngol 268, 1289–1292 (2011). https://doi.org/10.1007/s00405-011-1587-x

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  • DOI: https://doi.org/10.1007/s00405-011-1587-x

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