Subjective and Objective Outcome Assessment in Patients with Sinonasal Disease After Microdebrider Assisted Endoscopic Sinus Surgery
| Autor: | P. H. Patil, Rajesh Radhakrishna Havaldar, S Puneeth Nayak, Anil S. Harugop, O. Padmavathy, Anshika Anand |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Scoring system business.industry Sinus surgery Outcome assessment Sinonasal disease Surgery 03 medical and health sciences Endoscopic sinus surgery 0302 clinical medicine Otorhinolaryngology 030220 oncology & carcinogenesis medicine Postoperative outcome In patient 030223 otorhinolaryngology business |
| Zdroj: | Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India. 74(Suppl 2) |
| ISSN: | 2231-3796 |
| Popis: | Microdebrider is a modern powered instrument which is electrically driven with a shaver and a suction. The present study aims to assess the subjective and objective outcome in patients with sinonasal disease after microdebrider assisted endoscopic sinus surgery. A prospective observational study was carried out among 40 patients with symptoms suggestive of sinonasal diseases willing to undergo microdebrider assisted sinus surgery at our tertiary care hospital from January 2019 to December 2019. All the patients underwent microdebrider assisted endoscopic sinus surgery (ESS). Patients were subjectively evaluated using the Lund and Mackay staging system using visual analogue score and objectively using nasal endoscopy by the Lund and Kennedy scoring system preoperatively and post operatively after 6 weeks. 40 patients were included in the study. A mean age of 37 years were noted. All patients showed significant statistical improvement in Lund Mackay scoring system by visual analogue scoring and Lund Kennedy endoscopic scoring postoperatively. Thus, microdebrider offers a better therapeutic approach for patients with sinonasal diseases when compared to endoscopic surgery with the conventional instruments. The advantage of using microdebrider in ESS remains to be proper removal of the pathology, good surgical field and better postoperative outcome. |
| Databáze: | OpenAIRE |
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