Single seventh day debridement compared to frequent debridement after endoscopic sinus surgery: a randomized controlled trial

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dc.contributor.authorVarsak, Yasin Kursad
dc.contributor.authorYuca, Koksal
dc.contributor.authorEryilmaz, Mehmet Akif
dc.contributor.authorArbag, Hamdi
dc.date.accessioned2020-03-26T19:26:24Z
dc.date.available2020-03-26T19:26:24Z
dc.date.issued2016
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe aim of this study was to evaluate the postoperative debridement frequency following endoscopic sinus surgery. Individual randomized controlled trial. Sixty-two adult patients with a diagnosis of chronic rhino sinusitis (CRS) with nasal polyps (NP) and CRS without NP meeting the inclusion criteria were enrolled in this prospective study. The patients were randomized equally to frequent debridement (FD; at postoperative weeks 1, 2 and 4) or to a single debridement (SD; at postoperative week 1) after surgery. The outcomes were assessed with visual analog scale (VAS) for nine main symptoms concerning patient discomfort within the first 4 weeks, with the modified Lund-Kennedy endoscopic score (MLKES) at weeks 4 and 24 and with the sino-nasal outcome test-20 (SNOT-20) at week 24. Thirty-seven of the patients were male, and twenty-five were female. The mean age was 36.1 +/- 13.5 in FD group and 39.2 +/- 14.7 in SD group. In the SD group, the VAS scores at postoperative week four showed significantly less discomfort at visits (p = 0.004) and less negative effects on their work (p = 0.013). There was no statistically significant difference between the two groups in the week 4 and 24 MLKES and in the week 24 SNOT-20 scores (p > 0.05). The endoscopic findings did not show significant differences between the groups. Our data indicate that FD causes more discomfort at the required visits, more facial pain and more negative effects on patients' work; this method is not superior to postoperative single seventh day debridement in terms of the 24-week quality of life and endoscopic scores.en_US
dc.identifier.doi10.1007/s00405-015-3630-9en_US
dc.identifier.endpage695en_US
dc.identifier.issn0937-4477en_US
dc.identifier.issn1434-4726en_US
dc.identifier.issue3en_US
dc.identifier.pmid25903686en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage689en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s00405-015-3630-9
dc.identifier.urihttps://hdl.handle.net/20.500.12395/33999
dc.identifier.volume273en_US
dc.identifier.wosWOS:000371063700023en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSPRINGERen_US
dc.relation.ispartofEUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectChronic rhino sinusitisen_US
dc.subjectEndoscopic sinus surgeryen_US
dc.subjectNasal polyposisen_US
dc.subjectQuality of lifeen_US
dc.subjectPostoperative debridementen_US
dc.titleSingle seventh day debridement compared to frequent debridement after endoscopic sinus surgery: a randomized controlled trialen_US
dc.typeArticleen_US

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