The Antibiotic-Vaseline Soaked Cotton Pledget as an Adjuvant Material for Endoscopic Endonasal Fungal Ball Removal
| Autor: | Jong Min Park, Lim Sang chul, Nam Kwang Il, Song Min-Keun, Jae Gu Kim, Kim Young Yoon, Yang Hyung Chae, Hee Young Kim |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
minimally invasive surgical procedure medicine.drug_class sinusitis medicine.medical_treatment Antibiotics lcsh:Medicine maxillay Vaseline 03 medical and health sciences 0302 clinical medicine paranasal sinuses Medicine endoscopy 030223 otorhinolaryngology Sinusitis medicine.diagnostic_test business.industry lcsh:R lcsh:Otorhinolaryngology medicine.disease lcsh:RF1-547 Surgery Endoscopy Paranasal sinuses medicine.anatomical_structure mycetomas 030220 oncology & carcinogenesis business Adjuvant |
| Zdroj: | Journal of Rhinology, Vol 27, Iss 1, Pp 21-27 (2020) |
| ISSN: | 2384-4361 1229-1498 |
| Popis: | Background and Objectives: Treatment choice for fungal ball is endoscopic endonasal removal. However, it is not easy to remove fungal elements from the maxilla using only an endonasal approach. To overcome this difficulty, we introduced a cotton pledget technique and evaluated its efficacy through a cadaveric study and clinical research.Materials and Method: A cadaveric study was performed using 10 half heads of seven cadavers. The ease and safety of the cotton pledget technique were compared to those of a previously reported technique. In clinical research, we enrolled 52 patients who underwent surgery with the cotton pledget technique and 36 patients who underwent surgery using the conventional endoscopic approach. Demographic factors, preoperative Lund-Mackay (LM) score, sinonasal outcome test (SNOT) score, surgical morbidity, and incomplete removal rate were analyzed.Results: The cadaveric study showed that the cotton pledget technique was easier (p=0.011) than the conventional technique. In addition, clinical evaluation showed that the cotton pledget group had significantly lower incomplete removal rate than that of the control group (p=0.010).Conclusion: The cotton pledget technique is an easy and safe method that enables fungal ball removal more effectively than the conventional technique without need for inferior meatal antrostomy (IMA) or the Caldwell-Luc (CL) approach. |
| Databáze: | OpenAIRE |
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