Postoperative Nasal Debridement After Endoscopic Sinus Surgery: A Randomized Controlled Trial.

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Bibliographic Details
Title:	Postoperative Nasal Debridement After Endoscopic Sinus Surgery: A Randomized Controlled Trial.
Authors:	Alsaffar, Hussain (AUTHOR), Sowerby, Leigh (AUTHOR), Rotenberg, Brian W. (AUTHOR)
Source:	Annals of Otology, Rhinology & Laryngology. Oct2013, Vol. 122 Issue 10, p642-647. 6p. 2 Charts.
Subjects:	Chi-squared test, Debridement, Endoscopy, Nasal polyps, Health outcome assessment, Postoperative care, Sinusitis, Randomized controlled trials, Visual analog scale, Treatment effectiveness, Data analysis software, Descriptive statistics
Abstract:	Objectives: Postoperative debridement is a controversial subject in the rhinology literature. The objective of this randomized controlled trial was to determine the effect of regular debridement versus no debridement on disease-specific outcomes and patient inconvenience. Methods: Patients with chronic rhinosinusitis with polyposis who were to undergo basic sinus surgery (antrostomy, ethmoidectomy, and polypectomy) were randomized to either debridement (at postoperative weeks 2 and 4) or no debridement, and their outcomes were assessed at 4 weeks and at 6 months with the Lund-Kennedy Endoscopic Score (LKES), the Sino-Nasal Outcome Test-21 (SNOT-21), a visual analog scale for postoperative pain, and a novel scoring system for postoperative inconvenience (Post-Operative Inconvenience Scale; POIS). All patients were instructed to use high- volume saline rinses twice daily. Results: At 4 weeks after operation, there was no difference between the groups in regard to LKESs (control group, 2.1 of 20; debridement group, 2.4 of 20; p = 0.59) or SNOT scores (control group, 9.1; debridement group, 8.3; p = 0.47). The visual analog scale pain scores showed significance (control group, 19 mm; debridement group, 38 mm; p = 0.019), as did the POIS scores (control group, 18.3; debridement group, 6.1 ; p = 0.002). At 6 months after surgery, again no difference was seen between the groups on either LKESs or SNOT scores. Conclusions: In our patient population, debridement after surgery did not affect disease-specific outcomes. [ABSTRACT FROM AUTHOR]
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Database:	Psychology and Behavioral Sciences Collection

Description
Abstract:	Objectives: Postoperative debridement is a controversial subject in the rhinology literature. The objective of this randomized controlled trial was to determine the effect of regular debridement versus no debridement on disease-specific outcomes and patient inconvenience. Methods: Patients with chronic rhinosinusitis with polyposis who were to undergo basic sinus surgery (antrostomy, ethmoidectomy, and polypectomy) were randomized to either debridement (at postoperative weeks 2 and 4) or no debridement, and their outcomes were assessed at 4 weeks and at 6 months with the Lund-Kennedy Endoscopic Score (LKES), the Sino-Nasal Outcome Test-21 (SNOT-21), a visual analog scale for postoperative pain, and a novel scoring system for postoperative inconvenience (Post-Operative Inconvenience Scale; POIS). All patients were instructed to use high- volume saline rinses twice daily. Results: At 4 weeks after operation, there was no difference between the groups in regard to LKESs (control group, 2.1 of 20; debridement group, 2.4 of 20; p = 0.59) or SNOT scores (control group, 9.1; debridement group, 8.3; p = 0.47). The visual analog scale pain scores showed significance (control group, 19 mm; debridement group, 38 mm; p = 0.019), as did the POIS scores (control group, 18.3; debridement group, 6.1 ; p = 0.002). At 6 months after surgery, again no difference was seen between the groups on either LKESs or SNOT scores. Conclusions: In our patient population, debridement after surgery did not affect disease-specific outcomes. [ABSTRACT FROM AUTHOR]
ISSN:	00034894
DOI:	10.1177/000348941312201007