| Autor: |
K., Sharath Babu, Roy, Anshuman, Mahajan, G. D., Ingale, Mayur H. |
| Předmět: |
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| Zdroj: |
Pravara Medical Review; Jun2023, Vol. 15 Issue 2, p34-38, 5p |
| Abstrakt: |
Background: Post-operative care is essential for optimal healing and reducing complications after endoscopic sinus surgery (ESS). Nasal irrigation with normal saline is commonly used, but budesonide nasal irrigation has gained attention for its anti-inflammatory properties. This study aims to compare the efficacy of budesonide nasal irrigation to normal saline nasal irrigation in post-operative ESS management. Methods: A randomized controlled trial was conducted, enrolling patients who underwent endoscopic nasal surgery. Participants were allocated into two groups: normal saline irrigation (Group 1) and budesonide irrigation (Group 2). The primary outcomes assessed were the SNOT-22 score (Sino-Nasal Outcome Test) and the Lund-Kennedy endoscopic score. Data analysis was performed using parametric and non-parametric tests. Results: The study included 41 patients in Group 1 and 44 patients in Group 2. In the first visit, Group 2 (budesonide) had a significantly better SNOT-22 score (p<0.0001) and Lund-Kennedy score (p=0.0034) compared to Group 1 (saline). In the second visit, Group 2 showed a significantly better SNOT-22 score (p<0.0001) and Lund-Kennedy score (p<0.0001) compared to Group 1. Conclusion: Budesonide nasal irrigation with a positive pressure high-volume device demonstrated superior efficacy compared to normal saline nasal irrigation in post-ESS management. These findings suggest that budesonide may be considered as a replacement for normal saline irrigation in future management protocols. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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