Iranian Journal of Otorhinolaryngology

Iranian Journal of Otorhinolaryngology

Postoperative Debridement versus No Debridement in Chronic Rhinosinusitis

Document Type : Original

Authors
Sara Rahavi-Ezabadi
Amin Amali
Babak Saedi
Nafiseh Gilanifar
Fatemeh Mirashrafi
Otorhinolaryngology Research Center, Department of Otorhinolaryngology Head and Neck Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
10.22038/ijorl.2020.43210.2417
Abstract
Introduction:
This study aimed to assess the long-term effects of postoperative debridement on the 4th and 8th postoperative weeks versus no debridement in terms of subjective and objective outcomes.
 
Materials and Methods:
The statistical population of this study (n=80) consisted of 40 patients having chronic rhinosinusitis with nasal polyposis (CRSwNP) and 40 patients having chronic rhinosinusitis without nasal polyposis (CRSsNP). These samples were randomly divided into two groups of debridement and control.
 
Results:
According to the results, 8 weeks after endoscopic sinus surgery (ESS), the 22-item Sino-Nasal Outcome Test questionnaire score (P =0.03), Lund-Kennedy score (p <0.001), nasal blockage (P=0.02), and loss/decrease in sense of smell (P=0.02) in CRSwNP were significantly lower in the debridement group than in the control group. Moreover, 6 months after ESS, in both CRSwNP and CRSsNP, no significant difference was observed between the two groups considering the outcomes (P>0.05).
 
Conclusion:
This study showed that debridement could lead to short-term improvements in CRSwNP patients; however, no long-term benefit was observed.
Keywords
Chronic sinusitis
Debridement
Endoscopy
Post-operative care
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Iranian Journal of Otorhinolaryngology
Volume 33, Issue 1
January and February 2021
Pages 15-21