Cited 19 times in
Randomized controlled trial of steroid-soaked absorbable calcium alginate nasal packing following endoscopic sinus surgery
DC Field | Value | Language |
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dc.contributor.author | 김창훈 | - |
dc.date.accessioned | 2018-08-28T17:15:34Z | - |
dc.date.available | 2018-08-28T17:15:34Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 0023-852X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/162415 | - |
dc.description.abstract | OBJECTIVES/HYPOTHESIS: To evaluate the potential efficacy of steroid-soaked, absorbable calcium alginate nasal packing following endoscopic sinus surgery. STUDY DESIGN: Prospective, randomized, single-blinded, placebo-controlled trial. METHODS: Twenty-two patients (44 nostrils) who had chronic rhinosinusitis with polyps underwent bilateral endoscopic sinus surgery. Only those with an intersinus difference in Lund-Mackay severity score of 1 or less were included. In each patient, one randomly selected nostril was packed with calcium alginate soaked with 2 mL of triamcinolone (40 mg/mL) (triamcinolone group), whereas the contralateral nostril received an identical packing soaked in 2 mL of normal saline (saline group). Two independent investigators blinded to the packing allocation scored the surgical field using the validated Perioperative Sinus Endoscopy (POSE) scores 1, 4, and 8 weeks after surgery. RESULTS: All 44 nostrils were analyzed; the Lund-Mackay scores did not differ significantly between the groups before surgery. Eight weeks after surgery, the total POSE scores were significantly lower in the triamcinolone group (P = .014). The POSE scoring parameters were then compared between groups, and the following variables were significantly different: middle turbinate synechiae with the lateral wall (P = .037), polypoid degeneration of the ethmoid cavity (P = .006), and sphenoid sinus severity (P = .036). CONCLUSIONS: This study demonstrated that steroid-soaked, absorbable nasal packing can be used to enhance wound healing after endoscopic sinus surgery and to prevent polypoid changes in the nasal mucosa. LEVEL OF EVIDENCE: 1b. Laryngoscope, 128:311-316, 2018. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Wiley-Blackwell | - |
dc.relation.isPartOf | LARYNGOSCOPE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Randomized controlled trial of steroid-soaked absorbable calcium alginate nasal packing following endoscopic sinus surgery | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Otorhinolaryngology | - |
dc.contributor.googleauthor | Chi Sang Hwang | - |
dc.contributor.googleauthor | Salma Saud Al Sharhan | - |
dc.contributor.googleauthor | Bo Ra Kim | - |
dc.contributor.googleauthor | Soo In Kim | - |
dc.contributor.googleauthor | Jin Woong Kim | - |
dc.contributor.googleauthor | Hyung-Ju Cho | - |
dc.contributor.googleauthor | Joo-Heon Yoon | - |
dc.contributor.googleauthor | Chang-Hoon Kim | - |
dc.identifier.doi | 10.1002/lary.26871 | - |
dc.contributor.localId | A01050 | - |
dc.relation.journalcode | J02156 | - |
dc.identifier.eissn | 1531-4995 | - |
dc.identifier.pmid | 28940582 | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.26871 | - |
dc.subject.keyword | Endoscopic sinus surgery | - |
dc.subject.keyword | nasal packing | - |
dc.subject.keyword | nasal polyps | - |
dc.subject.keyword | surgical outcomes | - |
dc.subject.keyword | triamcinolone | - |
dc.contributor.alternativeName | Kim, Chang Hoon | - |
dc.contributor.affiliatedAuthor | Kim, Chang Hoon | - |
dc.citation.volume | 128 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 311 | - |
dc.citation.endPage | 316 | - |
dc.identifier.bibliographicCitation | LARYNGOSCOPE, Vol.128(2) : 311-316, 2018 | - |
dc.identifier.rimsid | 59999 | - |
dc.type.rims | ART | - |
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