Comparison of microdebrider-assisted endoscopic sinus surgery and conventional endoscopic sinus surgery for chronic rhinosinusitis with nasal polyps
Journal Title: Romanian Journal of Rhinology - Year 2019, Vol 9, Issue 34
Abstract
OBJECTIVE. To study and compare the benefits of microdebrider-assisted endoscopic sinus surgery and conventional endoscopic sinus surgery in terms of subjective and objective improvement in symptoms of nasal polyposis. MATERIAL AND METHODS. This study involved 60 patients with bilateral sinonasal polyposis scheduled to undergo Endoscopic Sinus Surgery. The patients were randomized into two groups: Group A - Conventional endoscopic sinus surgery and Group B - Microdebrider-assisted endoscopic sinus surgery. RESULTS. There was a significant difference in the mean VAS at 3 months postoperatively in Group B, but no significant difference at 6 months postoperatively following either of the two methods. The mean time for surgery (p<0.01) and the mean intraoperative blood loss (p<0.01) were significantly lower in Group B. CONCLUSION. A well-trained surgeon with proper anatomical knowledge, good instruments, hypotensive anaesthesia, minimal mucosal injury and regular proper follow-up will have similar postoperative results with both methods.
Authors and Affiliations
Ramiya Ramachandran Kaipuzha, Nirmal Coumare Venkataramanujam, Padmanabhan Karthikeyan, Davis Thomas Pulimoottil
The importance of computerized dynamic posturography in vestibular rehabilitation of patients with unilateral peripheral vestibular deficiency
OBJECTIVE. To evaluate the importance of computerized dynamic posturography in vestibular rehabilitation of patients with unilateral peripheral vestibular deficiency syndrome. MATERIAL AND METHODS. The study was conducte...
Pain in the cervico-facial pathology: elements of etiopathogenesis, diagnosis and therapeutic principles
The authors conduct a review of the etiopathogenesis, the main diagnostic methods and the treatment principles in cervicofacial pain. Pain in otorhinolaryngology is a multifactorial symptom, based on the rich innervation...
The association of absolute eosinophil count, serum immunoglobulin E and spirometry with co-morbid bronchial asthma in patients with allergic rhinitis
OBJECTIVE. This study aimed to analyse the association of absolute eosinophil count (AEC), serum IgE and spirometry with co-morbid bronchial asthma in patients with allergic rhinitis. MATERIAL AND METHODS. This study inv...
Endoscopic and histological staging: Deciding factors in the treatment of chronic rhinosinusitis
Chronic rhinosinusitis represents an infl ammatory condition of the nose and paranasal sinuses, characterized by two or more symptoms. The diagnosis of acute rhinosinusitis is made, most often, clinically; however, in th...
Sphenoid rhinosinusitis associated with abducens nerve palsy – Case report
The cases with sphenoid sinusitis associated with abducens nerve palsy are rarely cited in the literature. We present the case of a 41-year-old patient who was hospitalized for right hemicrania and ipsilateral paresis of...