Comparative Study between Endoscopic Sinus Surgery Using Microdebrider & Conventional Techniques with Its Impact on Pulmonary Function Tests - A Randomized Control Trial
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
The nasal airways and their close association to paranasal sinuses are an integral part of the Respiratory Tract. Mucociliary clearance is the predominant clearance mechanism for both upper and lower airways. The two components of mucociliary clearance are cilia and the secretions above them. It is known that CRS coexists in as many as 40–75% of patients with BA. Treatment options for CRS include medical therapy, surgical intervention or both. According to recent guidelines, ESS is the most favourable surgical approach in patients who fail to respond adequately to medical therapy. To assess the extent of improvement in CRS following ESS (either microdebrider or conventional) and if it brings an improvement in the Pulmonary Function Tests. This also assesses symptom scores, endoscopic appearances and CT findings pre-operatively and post-operatively. This study was carried out at the outpatient Department of Otorhinolaryngology and Head & Neck Surgery in Meenakshi Medical College, Hospital & Research Institute, Tamil Nadu. Patients were consented and started on medical treatment with systemic steroids for two weeks and topical nasal steroids for one month. If the disease persisted after medical therapy, patients were equally randomized into two groups of 30 each - microdebrider and conventional technique. Subjective symptoms of CRS were based on the CRS criteria. Symptoms score were given with Lund-Mckay symptoms scoring, pre-operatively one week before and post-operatively two months after surgery. Lund–Mckay CT Scoring System separately assessed the extent of opacification of sinuses. PFT was assessed using Spirometer (KOKO Legend). There was a statistically considerable difference in the FEV1 values in microdebrider ESS than conventional ESS. Microdebrider ESS is considered superior when we have to address the co-existence of lower airway diseases along with CRS.
Authors and Affiliations
Muthubabu K.
Keywords
Related Articles
- EP ID EP510898
- DOI -
- Views 94
- Downloads 0
Comparison of Intrathecal Bupivacaine with and without Fentanyl for Transurethral Resection of Prostate
Background: Opioids are being increasingly used these days as adjuvants to local anesthetics in spinal anaesthesia. The aim of this study is to compare the effects of adding fentanyl to low dose bupivacaine in spinal ane...
A Study of Problem-Based Learning (PBL) - Student Response System in M.B.B.S Anatomy Course
Background-Problem-based learning (PBL) visualizes students to study material by applying processes of reasoning rather than by rote memorization of facts. To this purpose I have evaluated PBL compared to traditional tea...
Single Institutional Comparative Study of Short versus Long Course Radiotherapy for Palliation of Painful Bone Metastasis
Purpose: External beam radiotherapy is an effective treatment for symptomatic bone metastases. This study aims to compare the 8Gy in single fraction and 30Gy in 10 fractions radiotherapy for palliation of bone metastases...
Endoscopic Treatment of Chronic Venous Insufficiency by Interrupting Below Knee Perforating Veins: A Prospective Study
Chronic venous insufficiency (CVI) is a long-term disabling problem. The prevalence of venous ulceration due to chronic venous insufficiency has been estimated to be approximately 0.1 to 0.3%.1 In addition for each patie...
Correlation between duration of Dysphagia and Stage of Esophageal Cancer at the time of presentation - An observational study from a tertiary care centre of Eastern India
Abstract