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

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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]
Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Postoperative Nasal Debridement After Endoscopic Sinus Surgery: A Randomized Controlled Trial.
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  Data: <searchLink fieldCode="AR" term="%22Alsaffar%2C+Hussain%22">Alsaffar, Hussain</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sowerby%2C+Leigh%22">Sowerby, Leigh</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rotenberg%2C+Brian+W%2E%22">Rotenberg, Brian W.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Annals+of+Otology%2C+Rhinology+%26+Laryngology%22">Annals of Otology, Rhinology & Laryngology</searchLink>. Oct2013, Vol. 122 Issue 10, p642-647. 6p. 2 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Debridement%22">Debridement</searchLink><br /><searchLink fieldCode="DE" term="%22Endoscopy%22">Endoscopy</searchLink><br /><searchLink fieldCode="DE" term="%22Nasal+polyps%22">Nasal polyps</searchLink><br /><searchLink fieldCode="DE" term="%22Health+outcome+assessment%22">Health outcome assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Postoperative+care%22">Postoperative care</searchLink><br /><searchLink fieldCode="DE" term="%22Sinusitis%22">Sinusitis</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Visual+analog+scale%22">Visual analog scale</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Annals of Otology, Rhinology & Laryngology is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1177/000348941312201007
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      – Code: eng
        Text: English
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        PageCount: 6
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      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Debridement
        Type: general
      – SubjectFull: Endoscopy
        Type: general
      – SubjectFull: Nasal polyps
        Type: general
      – SubjectFull: Health outcome assessment
        Type: general
      – SubjectFull: Postoperative care
        Type: general
      – SubjectFull: Sinusitis
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Visual analog scale
        Type: general
      – SubjectFull: Treatment effectiveness
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
    Titles:
      – TitleFull: Postoperative Nasal Debridement After Endoscopic Sinus Surgery: A Randomized Controlled Trial.
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            NameFull: Alsaffar, Hussain
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            NameFull: Sowerby, Leigh
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              M: 10
              Text: Oct2013
              Type: published
              Y: 2013
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